PCMA Capital Chapter Mentorship Program - Protege Self Assessment Form
Please leave this Question field blank! This is where we put your Assigned Mentor's name!r
Your answer
Step One
Name *
Your answer
Current Home/Residence Location *
Your answer
Primary Phone Number *
Your answer
Email *
Your answer
Step Two
I would like to be paired with a professional who is: *
Step Three
Company *
If currently not working, please list previous employer or type N/A
Your answer
Location *
If currently not working, please list previous employer or type N/A
Your answer
Title *
If currently not working, please list previous position or type N/A
Your answer
Please provide a brief summary of your experiences in the industry. *
Your answer
What sector of the industry do you ultimately want to work in? *
Your answer
Step Four
This section is for student proteges only.
College/University
Your answer
Location of College/University
Your answer
What is your major?
Your answer
What is your year of study?
What would be your ideal job after graduation?
Your answer
Step Five
Why do you want to participate in the program? *
Your answer
What do you expect to gain from the program? *
Your answer
What is your personal mission statement? *
Your answer
Check the appropriate box based upon your strengths in the following areas:
Personal And Interpersonal Skills *
High
Medium
Needs Improvement
Written Communication Skills
Verbal Communication Skills
Knowledge of Business Etiquette
Diplomacy
Networking
Negotiations
Building Rapport / Relationship Building
Listening Skills
Self Confidence
Composure under stressful situations
Leadership
Self-development *
Often
Sometimes
Hardly Ever
Seek out activities that add to my growth
Actively committed towards improving myself professionally
Always looking for ways to compensate for any limitations I have
Understand the importance of networking
Value the knowledge and skills from my peers
Please list any additional relevant information here:
Your answer
Final Steps
You are more than welcome to submit your resume as additional information, please submit it via email.

Student Protégés need to be PCMA members, as do all other participants.

If you have any questions, or are seeking to submit your resume, please contact Enrique Juarez, enrique.juarez@buttesmarriott.com.

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