Sign in to your Google account to fill out this form
This form contains features which require sign in. Your identity will not be revealed.
Responses cannot be edited
Agile Mentor Circle Application
Programme 2017.1, starting January 2017
What's your name?
What's the URL of your LinkedIn Profile?
To complete the application you'll need to record a short video. Here's a checklist to help you do that.
The video is no more than 3 minutes long.
I introduced myself by name and organisation.
I shared a bit about my practice, e.g I'm the lone Agilist, my role, how many teams I engage with.
I shared what I'd like to get out of the Agile Mentor Circle.
What's the URL of your application video?
How will you pay it forward?
Previous participants have gotten a lot of value out of joining the Agile Mentor Circle. How will you pay it forward when you've completed.
Do you agree to the rules of engagement?
We want to ensure that we collaborate with all of you in a way to unlock the most value of the Agile Mentor Circle for all of you.
I will do my best to join at least 5 of 6 video calls so that I stay in the private Slack team afterwards.
I will do my best to support a safe and supportive environment to share challenges in comfortably.
I will do my best to engage with the programme during the video calls and in preparation of them.
I will do my best to ensure that I'm in an environment that is conducive to a high quality video call.
I will do my best to be ready to engage on time, ensuring that I'm connected and logged at the start.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of GeorgFasching.com.
Terms of Service