Mentor Application to the PWN Vienna Mentoring Program 2018/2019
Please fill out this application form if you want to become a mentor of the PWN Vienna Mentoring Program.
Please also send your CV until 16th of September to mentoring.pwnvienna@gmail.com

Before you start:
Data:
PWN Mentoring receives sensible data from you we are keeping the access to this data limited to the mentoring coordinators. We value your trust.
Later we will disclose your CV upon request to your mentee(s). Sometimes mentees would like to know more about their mentors.
We will also need to disclose your names to the PWN membership team to receive confirmation that you have paid the membership fee, generally if you do not take part in the supervision program you will not be required to pay membership.
We are keeping a record of mentors and mentees to keep a pool of potential mentors for the future and to see if you have stayed with us.
We are also taking photos at the events to let our PWN members know what services we provide and to attract more members.
Membership:
As mentor you are not required to be part of PWN, nevertheless we would be very happy to welcome you in our network.
https://pwnvienna.net/

Name *
Your answer
E-mail *
Your answer
Phone Number *
Your answer
Are you a member of PWN Vienna? *
Age
Your answer
Nationality
Your answer
City and Country of Residence
Your answer
Languages
Your answer
These days of the week I am usually available: *
Required
This time of the day would work best for me: *
Required
Please note any other constraints you would like us to be aware of:
Your answer
Please describe your career, industry, and current role *
Your answer
My strengths are *
Your answer
The adjectives that describe me best are *
Your answer
Why do I want to provide mentoring? *
Your answer
What are my expectations of the mentoring program? *
Your answer
What are my expectations from the mentees?
Your answer
What are the areas in which I would like to provide mentoring? *
Required
Have you ever been a mentor before? If yes, how often and in which program? *
Your answer
Confidentiality is an essential component of the PWN Mentoring program. 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. *
Required
I agree that my data is used by PWN and that photos of the events with me in it are used to promote the PWN mentoring program.
Thank you for your application!
Please provide your CV to mentoring.pwnvienna@gmail.com
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