Protégé 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: *
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 Mentor? *
Do you have a minimum of two hours, outside of business hours, per month to meet with your mentor? *
Have you read and agree to Mentorship ProgramPrinciples as found on the Mentorship webpage? *
Do you understand that there is a participation fee for this program? *
What is motivating you to seek a mentor at this time? *
Your answer
Please provide a summary of your goals or objectives you would like to achieve by participating in Mentorship Program: *
Your answer
Do you prefer to have a mentor 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
Please indicate the top 3-5 mentoring tracks, ranking 1-5 with a “1” being most important, that reflect where you are currently requiring assistance or the tracks you feel you would like to approve upon *
1
2
3
4
5
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 in the previous question please list here
Your answer
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