QWiSE Mentorship Program
Industry Mentor: Portfolio Form
What is your name (first and last)? *
Your answer
Tell us a bit about yourself! What industry or field of study are you currently working in/pursuing and what is your current position? Please be detailed in response: *
Your answer
What value do you see in mentorship? *
Your answer
What are some of your current professional and or personal goals? What do you hope to achieve being a part of this program? *
Your answer
Please select all forms of contact in which you are open to have with a mentee/mentor below: *
Required
Please describe your availability and preferred form of contact with mentees or mentors below (i.e. 1 hour a week through video chat). *
Your answer
Please provide us with your contact information, including email and phone number for follow up below: *
Your answer
If possible, please provide us a link to your LinkedIn profile if available. This will help compile your WiSE Mentor Portfolio.
Your answer
Finally, what are some of your personal interests, projects and or hobbies? *
Your answer
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