2018 Mentorship Program Application
Please enter your contact information and answer the following 9 questions as completely as possible. Your responses are confidential and will be used only to determine your mentorship partner. You can update your responses until November 19, 2017. Mentorship applicants must be MCN members at time of application.
Email address *
MCN Membership ID number (find at membership.mcn.edu) *
Your answer
First Name *
Your answer
Last Name *
Your answer
Job Title *
Your answer
Affiliation *
Your answer
Phone number
Your answer
1. Are you interested in participating as a mentor or a mentee? (check one) If you would like to be matched with a peer (as opposed to a more senior or junior partner), please select both "mentor" and "mentee." *
Required
2. How many years have you worked or taught in the museum field? *
3. Which of the following areas have you explored in your career? *
Required
4. On which of the following areas should your mentorship focus? Mentees: choose an area you want to learn more about. Mentors: choose an area in which you have significant experience. Peers: choose for both mentor and mentee positions, and distinguish your choices in "other" *
Required
4a. If you selected #2 area above, please elaborate by selecting a checkbox:
5. What kind of mentorship interactions would you most welcome? (choose top 3) *
Required
6. Describe two reasons why you would be a great mentor/mentee: *
Your answer
7. Describe two outcomes you would like to achieve from this program: *
Your answer
8. What else should we know about you? For example, if you have a special talent or past mentorship experience or anything else that would help us make appropriate matches, please describe below.
Your answer
9. Please read and select the option below and enter your initials to indicate your commitment *
Required
Many thanks for your participation!!
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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