Mentorship participant survey
Welcome! Please tell us a bit about yourself to help us match you with an appropriate mentor or mentee.
Are you interested in being a mentor or mentee?
I would like to be a mentor
I would like to be a mentee
I am interested in both
Name (first and last)
Which state are you in?
What are your specific work and home locations?
Which company/organization do you work for?
In a career transition
Do you prefer to meet in person or by phone?
How often do you prefer to meet?
Every other week
When do you prefer to meet?
What are your professional skills?
Communications and Marketing
IT and technology
What are your areas of expertise in the energy and environmental fields?
Do you have any professional restrictions? (competitors, regulators, etc)
What are you hoping to gain personally and/or professionally from this mentorship relationship?
Anything else you would like to share to help us match you in a mentorship?
Are you a NEWIEE member?
Where did you hear about the NEWIEE Mentorship Program?
NEWIEE Chapter Circles
NEWIEE website, newsletter, or social media
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service