Mentorship Form
Email *
Name *
Age
Country of residence
What region/country do you report from/on (you can state several)? *
Language you'd like to be mentored in *
What is your beat or area of expertise? e.g: health, business, culture, foreign correspondence *
What is your medium for journalism (print, video, radio etc.)? *
Have you faced significant stress while on the job? *
If YES to previous question, was the stress related to any of the following? *
Required
What stage of your career are you in? *
Required
Are you on staff journalist or independent/freelance. (Please name the outlet/s) *
Are you looking for long- or short-term mentorship? *
What kind of mentorship are you looking for? *
How can we reach you? Please provide multiple options if possible: email address, phone number, Skype handle, etc. *
Please list the best dates with two time slots each on EST, to reach you: *
Are you able to pay the minimum of $30 processing fee? (Once your mentor is assigned, you will be directed about how to pay.) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms