Spring 2021 MENTEE Application PWN Nice Cote d'Azur
We are delighted that you would like to participate in our 2021 Mentoring Program as a Mentee.
Please complete this Mentee Application Form, which will provide the mentoring coordinator to understand your goals to help recommend the most suitable Mentor for your program.
The application period is open during December'20 and January 2021. You will be notified of proposed mentor matches in January during the launch of the 2021 program, scheduled for the end of January 2021.
* Required
Email address
*
Your email
First Name
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Your answer
Last Name
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Your answer
Email Address
*
Your answer
Phone Number
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Your answer
Company Name
Your answer
Job Title
Your answer
Are you a PWN Nice Cote d'Azur Member
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Yes
No
What is your reason for joining the mentoring programme?
Your answer
What are your expectations for the mentoring programme?
Your answer
What is your preference for being matched to your mentor?
*
Self-Match (Find my own mentor/mentee)
Coordinator-Match (Allow the mentoring coordinator to match me with a suitable person)
Please describe your career, industry, and current role?
Your answer
What do you consider are your strengths?
Your answer
What 3 words would describe you best? What would your friends say!
Your answer
As a mentee, what are you looking for in a mentor? What skills, experiences and passions are you hoping to learn? Please select only 3.
Leadership and Management of Others
Career Transition/Job Search
Entrepreneurship
Conflict Management
Goal Setting and Career Advancement
Time Management
Work-Life Balance
Personal Development and Confidence Building
Other:
As a mentee, what are some of your professional growth goals for the next 3 years?
Your answer
How much time are you willing to commit to the mentoring program per month?
1-2 hours
3-5 hours
5-8 hours
Clear selection
Would you agree to have distance meetings (phone or video if requested by your mentor)?
Yes
No
Clear selection
Which is your preferred language?
English
French
Clear selection
Is there anything else you would like us to know about you?
Your answer
Confidentiality is an essential component of the PWN Mentoring programme. By applying to the PWN Mentoring program, you agree to keep in strict confidence all and any information which is obtained/discussed/heard during the mentoring relationship, either one-on-one or in a peer setting
*
I agree to keep all information in strict confidence.
Required
Date application submitted:
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