Mentee Application - Spring 2019
WBA Emerging Leaders Mentee Application

Thank you for your interest in being a Mentee in the WBA Emerging Leaders Mentor Program! We will be selecting approximately five additional Mentees to participate in the spring program. Meetings will run March-May 2019 and will be held on the fourth Tuesday of the month (3/26, 4/23, and 5/28), 4:30pm-6:45pm.

Please answer all of the questions below with as much detail as you need. Our goals are to create the most effective and powerful Mentee-Mentor teams, as well as to develop a valuable program tailored to the needs of both Mentees and Mentors.

If you have any questions about this application, please contact Tad Mayer at tmayer@careernegotiations.com or 978-758-6662.

First Name *
Your answer
Last Name *
Your answer
Personal Email *
Your answer
Personal Phone Number *
Your answer
Highest Level of Education *
Your answer
If you are a current student, what program are you in, at what institution , for what degree? *
If not applicable, please write "N/A"
Your answer
If you are considering post-graduate work, what degree and program are you thinking of pursuing? *
If not applicable, please write "N/A"
Your answer
Years of Professional Experience *
Your answer
Company Name *
Your answer
Current Role *
Title, short description, and time in the position
Your answer
If in the current role for less than six months, what was your previous role? *
Title, short description, and time in the position or "N/A"
Your answer
Years in current industry *
Your answer
What best describes your career plan? *
Mark only one option
What do you hope to accomplish professionally in the next five years? *
Your answer
Why do you want to be a mentee? What do you hope to accomplish? *
Your answer
What are your expectations for the program and for a mentor? *
Your answer
In what industry(ies) would you prefer the Mentor have experience? *
Your answer
Can you commit to attending the three meetings on the fourth Tuesday of each month (3/26, 4/23, and 5/28, 4:30pm-6:45pm) plus three additional meetings with your Mentor? *
All meetings will be in Woburn. Scheduling to be worked out after selection of participants.
If no, please explain *
If yes, please just write "N/A"
Your answer
What else would you like us to know about you? *
Your answer
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