Mentor Application form WINTER 2020 Mentorship Program
The following application provides the basis for making appropriate pairings between Mentors and Protégés. The more detailed information provided, the better able we are to match you with a partner.
Full Name *
Your answer
Email Address *
Your answer
Contact phone number: *
Your answer
Company name: *
Your answer
Job title *
Your answer
Your current industry: *
Your answer
Other industries in which you have experience: *
Your answer
Are you a PMP? *
Number of years of PM experience:(minimum 7 years required to be considered): *
Number of years of PM experience: *
Are you a current member of PMI-SAC? *
Have you participated in the PMISAC Mentorship program before? *
If yes, as a Mentor or Protégé ?
Which part of the city would you like to meet your protégé? *
Do you have a minimum of two hours, outside of business hours, per month to meet with your protégé? *
Have you read and agree to Mentorship Program Principles as found on the Mentorship webpage? *
Do you understand that there is a participation fee for this program? *
Do you have any previous mentoring experience? *
Your answer
If you answered “Yes” to the previous question please provide a summary of your previous mentoring experience: *
Your answer
Please provide a summary of your goals or objectives you would like to achieve by participating inMentorship Program: *
Your answer
Do you prefer to mentor someone from the same industry you are in? *
Interests/Hobbies: *
Your answer
Please provide LinkedIn Profile link (optional)
Your answer
Is there any additional information you would like to share in processing your application?
Your answer
In the areas you consider yourself to be an expert, please indicate with “Expert” in the mentoring tracks below. Please note it takes approximately 10,000 hours of deliberate practice to master a skill and be considered an Expert.For those mentoring tracks where you are not an expert though are the tracks you feel would allow you to do your best mentoring please indicate with “Advanced” *
Expert
Advanced
Change Management
Closing Projects
Communications
Conflict Resolution
Consulting
Costs
Earned Value Management
Human Resources
Initiating Projects
Integration
Leadership
Negotiation
PM Organizational Maturity
PMO
Politics and Projects
Process Improvement
Procurement
Quality Control
Risk Management
Scheduling Management
Scope
Stakeholder Management
Team Building for Projects
Time Management
If any other, than the list provided in the previous question please list here
Your answer
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