JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
A2IM Executive Mentor/Mentee Program: Mentee Application (Cycle 3)
Thank you for your interest in joining the A2IM Executive Mentor Program.
Please fill out your information below. Please be as detailed as possible to ensure the best match.
This is an application for all those interested in participating in the A2IM Mentor program.
The A2IM Mentor Program promotes the mission of music industry education and connection-building on a qualitative level. This unique program supports the professional and personal development of independent music executives across all career stages.
This mentorship period will run from October 15., 2020 through March 31, 2021.
Please note that all applications are strictly confidential.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Are you a Member of A2IM?
*
Please note that the A2IM Mentor Program is for members only.
Yes
No
I don't know
Expected program commitment is at least one hour per month for a minimum of six months. Can you agree to this?
*
Yes
No
Name
*
Your answer
E-Mail
*
Your answer
Best Contact #
*
Your answer
Job Title
*
Your answer
Company
*
Your answer
Which area best describes your current role? (i.e. Marketing, PR, Finance, A&R, Promotion, Administrative, Business Affairs, Licensing, Publishing, other)
*
Your answer
What area(s) are you hoping to be mentored in?
Administrative
Business Affairs
Licensing
Publishing
Promotion
A&R
Finance
PR
Marketing
Other:
How long have you worked in the music industry?
*
Your answer
Geographic location (City, State)
*
Your answer
Please provide a summary of your goals for working with a Mentor?
*
Your answer
Do you have any experience in a Mentor/Mentee relationship? If so, please describe.
*
Your answer
Any other comments or info you’d like to share?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of A2IM.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report