GLASS Connections Program Mentee Application

The GLASS Caucus’s professional development programming seeks to enhance members' career development and assist participants in navigating the unique issues that LGBT community members may confront in their careers at the United States Senate. The Mentorship and Connections programs provide members with opportunities to meet and establish relationships with staff who can provide personalized one-on-one career advice. Both programs are open to Senate staff who are dues-paying members of GLASS, and Senate interns are invited to participate at no cost.

Mentoring partnerships established through this programming are based solely on information voluntarily supplied by program participants. GLASS does not verify the supplied information for accuracy, does not perform background checks on program participants, and makes no representations or warranties regarding the suitability of program participants.

GLASS is committed to ensuring that the privacy and confidentiality needs of its members are met and respected. All information gathered through this web form and throughout your participation will be kept in strict confidentiality.

You are not required to answer all questions on this application form; however, applicants are encouraged to provide information they believe will facilitate the best possible mentor/mentee match. GLASS will attempt to match participants based on their stated preferences.

    Your Contact Information

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    Your Background

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    Your Mentor

    The information you provide below will give us a better idea of the background you seek in a mentor for your participation in the Mentorship Program. You are encouraged to provide as much information as you feel comfortable to facilitate the best match. GLASS will use this information to match you with someone who meets as many of your stated preferences as is feasible.
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    By sumbitting this form, you agree to the following

    STATEMENT OF NON-DISCRIMINATION POLICY: GLASS does not discriminate on the basis of race, sex, religion, disability, age, national origin, political party affiliation, economic status, uniformed service, genetic information, gender identity or sexual orientation. When matching mentors and mentees, GLASS will attempt to honor the stated preferences of program participants. DISCLAIMER: GLASS's professional development programs are purely voluntary and designed to establish mentoring partnerships between interested members based solely on the information voluntarily supplied by program participants. GLASS does not verify the supplied information for accuracy, does not perform background checks on program participants, and makes no representations or warranties regarding the suitability of program participants. While GLASS hopes that all participants have a positive mentoring experience, GLASS does not exercise or retain any control over the mentor/mentee relationship once established. Program participants assume all risks associated with participation in this program. APPLICABILITY OF SENATE RULES: Senate Rules apply to any activities conducted pursuant to the Mentorship and Connections programs. STATEMENT OF COMMITMENT TO CONFIDENTIALITY: One of the cornerstone values of GLASS is confidentiality, and GLASS is committed to ensuring that the privacy and confidentiality needs of all its members are met and respected. As a condition of participation, every applicant to the Mentorship and Connections programs must sign a confidentiality statement in which they agree to keep in strict confidence all private and/or confidential information they learn through their participation in the program(s) regarding any individual, organization or business. Program participants may be disqualified from further participation in the program(s) at any time by the GLASS Steering Committee for any action that violates the letter or spirit of this statement of confidentiality and may forfeit their membership in GLASS.