WIT // HSV Mentoring Program - Mentee Application 
Interested in finding a mentor @ WIT // HSV? Use form below to apply.

All information submitted as part of this mentee application shall be treated as confidential. For questions contact i2c@uah.edu.

Sign in to Google to save your progress. Learn more
Email *
Welcome to WIT // HSV
Name: *
Email *
Phone: *
Company: *
Occupation / Title: *
LinkedIn profile: *
Introduced by / Reference:
Mentee experience *
Required
How did you hear about WIT // HSV?
What's your educational background? *
What’s your current job function? *
Where would you like to grow your area of expertise? *
What areas would you like a mentor to expand on? *
What is your monthly commitment to the mentee role? *
What are your strongest competencies? *
What are a couple of the major challenges you are experiencing and trying to overcome in your life / job at the moment? *
Describe your ideal mentor *
What does mentorship mean to you? *
How would you prefer to communicate with your mentor? *
Any felonies, lawsuits, convictions, bankruptcies and crazy stuff we need to know about? *
Anything else you want to tell us about yourself or your goals?
Acknowledgment
By hitting the "Submit" button I acknowledge that the above information is provided for the purpose of applying for the WIT // HSV Mentoring Program and is accurate to the best of my knowledge.  I understand that the WIT // HSV Team and related staff, advisers or parties retain sole decision whether this application is approved, disapproved or modified.

I agree to hold harmless The University of Alabama in Huntsville, the University of Alabama System, The Trustees of the Alabama System, I²C, WIT // HSV, its’ staff, employees, agents, volunteers, officers and related boards from any and all claims, injury, cause of action whatsoever, whether previously, now or hereafter incurred, from any acts or omissions by these entities, as a result of my participation in the WIT // HSV Mentoring Program. I agree that these offices assume no responsibility for the success or failure of my existing professional or personal well-being.  The role of these entities is consultative in nature and any advice or information offered may or may not be used per my discretion.  Therefore, I release The University of Alabama in Huntsville, the University of Alabama System, the Trustees of the Alabama System, I²C, WIT // HSV, its’ staff, employees, agents, volunteers, officers, mentors and related boards, from any liability associated with this mentoring program.  
 
----------

Thanks for your interest. Now hit the "Submit" button and we will be in touch with you regarding next steps!

A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of The University of Alabama in Huntsville.

Does this form look suspicious? Report

Google Forms