CICA Mentor Application/Profile
Name *
Email *
LinkedIn Profile Link
City and State *
Phone number *
Highest Level of Education *
Current Employer? *
Years of Professional Experience *
Key Experience or Expertise *
Why are you interested in the CICA Mentorship Program?( Include any information about mentoring individuals from diverse backgrounds) *
How will you use your experience and network in assisting mentee find jobs comparable with their education and experience? *
What are you looking for in a mentee (skills, career path, interest)? *
Are you committed to meeting with your mentee at least once a month for 6 months? *
By submitting this application, I confirm that I am able to commit to the duration of the CICA Mentorship Program and that I will abide by the terms of the CICA Mentorship Framework and the Mentor/Mentee Partnership Agreement. Please check the box below to indicate your agreement. *
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