Mentor Door County Interest Form

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Mentor Door County supports education and connection for young women of Door County through educational opportunities, career development, networking and one-on-one mentorships. Mentorships create supportive connections to cultivate personal, career and academic confidence and success.

If you are interested in becoming a part of Mentor Door County, please read the following guidelines and complete the survey below. A member of our team will be in touch with you within a few weeks of your completion of this survey. Feel free to explore our Facebook (https://www.facebook.com/mentordoorcounty) and let us know if you have any questions or concerns (mentordoorcounty@gmail.com).

1.Participation is voluntary and free of charge.
2. There will be an initial orientation for mentors to discuss guidelines, expectations and confidentiality. Please stay tuned for more information regarding the details of this meeting.
3.Participants are willing to engage in education or connections via in-person,
online, phone or virtual connections.

Email *

Name *

Age *

Phone Number *

Email Address *

Residential Address *

I am interested in participating as a... *

Mentee

Both Mentor & Mentee

I am interested in participating as a... *

Mentee

Mentor

Workshop or Panel Presenter

Both Mentor and Mentee

Other:

I am interested in engaging in the following activities: *

One-on-one mentorship

Workshops and/or Podcasts

Joining a Committee on our Team (finance/fundraising, marketing, programming, technology)

Choose Your Own Path (Program engaging High School Seniors in Post-Graduation Mentorship)

Other:

Required

List any career interests, hobbies, and/or current community involvement activities. *

List any primary topics of interest to you.

Please indicate your employment status: *

Currently Employed

Retired

Not Currently Employed

Choose the highest level of education completed: *

High School

Associates

Bachelor

Masters

Doctorate

If currently enrolled, indicated the name of the school, technical college, college, or university.

What else should we know about you?

Submit

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