ASCE Philly YMF Mentor Program: Mentor Application
If you are interested in participating in the ASCE Philadelphia Younger Members Forum(YMF) Mentor program as a mentor, fill out this application. ASCE Philadelphia YMF will contact you upon reviewing your application.
Please contact Kwalsh@pennoni.com for any questions or concerns.
Email address *
Last Name *
First Name *
ASCE Membership Number *
Phone Number *
(For Committee Purposes Only - Not For Distribution)
Certifications(if any)
City of Residence *
Employer Information
Current Employer *
Public or Private
Clear selection
Your Position *
Work Concentration/Focus
Office Location *
Years of Experience *
Preferred Method of Communication *
Required
Available Meeting Time with your Mentee *
Required
If applicable, will your office be able to provide a conference room for a mentor program event? (About 15-25 people are expected to attend)
Clear selection
Education Background
School Name *
Degrees (Major, Minor, etc.) *
Concentration
Hobbies and Personal Interests *
What outcomes do you hope to see from your participation in the Mentor Program? *
Please rank the top 3 areas you are interested in providing mentorship.
1st *
2nd *
3rd *
Please share a short career bio of yourself with a maximum of 500 characters. ( Please note, your response may be shared with program applicants) *
Please check the box below to signify your understanding that this will be an approximately 1.5 hour monthly commitment from October 2019 - August 2020. *
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