Women in Entertainment Mentorship Program: Mentor Intake Form
Thank you for your interest in becoming a mentor for the Women in Entertainment Mentorship program!  Please take a few minutes to fill out this form to help us learn more about your professional background, skills, and interests.  This information will help us assess alignment with our program goals and begin intentionally matching you with the right mentee. 
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Email *
First Name *
Last Name

 *
Phone Number 
Demographic Information 
The following questions are collected to help us make thoughtful and informed mentor/mentee matches.  your responses will be solely used to support the pairing process within the Women In Entertainment Mentorship Program. 
Do you identify with any of the following: *
Required
If answered other above, please elaborate.
About Yourself *
Briefly describe yourself.  This should include your hometown, education background (e.g. College, Major/Minor, Graduation Year), professional experience, and area of industry expertise.  This information will be used solely for matching purposes.
Link to Linkedin Profile *
Current Job Title *
Current Organization/Company *
Other (Please Specify) Put N/A if Not Applicable *
Why Are You Interested in Becoming a Mentor for This Program? *
How Did You Hear About This Program? *
Additional Notes or Comments
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