TAG Mentorship Application Form
Thank you for your interest in the TAG Mentorship program.

By applying for TAG Mentorship you agree to the TAG Mentorship Requirements and Guidelines as described on the TAG Mentorship program web page at https://www.tagnw.org/mentorship.

The information you provide in your application is used for matching and contact by the TAG Membership Committee ONLY. Any other future use is by your explicit permission. Current TAG Membership Committee members are listed at the TAG Leadership web page at https://www.tagnw.org/leadership#membership.

While participation in the TAG Mentorship program is not guaranteed, we will do everything possible to provide a mentorship partner for qualifying applicants. Thank you for your interest. We look forward to your participation.

If you have any questions, please do not hesitate to contact me.


Michael Gan
Technology Alliance Group for Northwest Washington
director@tagnw.org | 360-499-2099

P.S. All fields are required, but you may enter "none" or similar if you choose not to answer. Email address is REQUIRED.
First Name *
Last Name *
Phone Number *
Email Address *
Discord ID *
Employer *
Job Position *
School *
Academic Program or Focus *
City *
Participation *
Professional Interests *
Required
If selecting "Other" please describe: *
What days and times of the week are you most available for mentorship activities? *
Have you ever participated in a mentoring program before? If yes, what was your role and experience? *
What is your relevant education and learning experience? *
What is your relevant professional experience? *
Do you have expertise and/or focus on any particular subject(s)? If so, please describe. *
What are your personal hobbies and interests? *
What are your mentorship goals? *
What are you looking for in a mentorship partner? *
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