ISSA Kansas City Mentor
Mentor Enrollment Form -- Kansas City
Email address *
Mentor Profile:
Mentor Name
Your answer
Job Title
Your answer
Your answer
Email address
Contact Phone number
Your answer
Best Time to call
Your answer
Organization Address
Your answer
Type of Organization
Your answer
How do you prefer to meet your Mentee?
Brief Description of your job responsibilities
Your answer
Select your areas of expertise:
Professional Certification/Membership
Your answer
College/University Attended
Your answer
Your answer
ISSA Code of Ethics
I will adhere to ISSA’s Code of Ethics and Standards of Professional Conduct, Submission of this application is your agreement to comply.

The Kansas City Chapter of ISSA is not responsible for the accuracy of content provided by mentors. The information is provided for educational purposes only. It is intended to help you learn and gain skills to further your career and to provide professionals an opportunity to share their knowledge and skills with others who are seeking to expand theirs in a specific of study. This program does not provide any guarantees for job placement or advancements in your career. It is not intended to certify you for a specific skill or area of knowledge. It should not be used in place of professional study or certification. The statements made by mentors are their opinions and have not been proven or evaluated by ISSA. ISSA assumes no responsibility for the use or misuse of materials and information you receive from your mentor.

A copy of your responses will be emailed to the address you provided.
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