Mentee Application Form
Name *
Your answer
Highest level of education/ current educational status *
Your answer
Career objectives *
Your answer
Top 3 skill sets you are seeking to acquire from the program *
Your answer
Phone Number *
Your answer
Email *
Your answer
Skype / LinkedIn (indicate N/A if you don't have one) *
Your answer
STEM / Non-STEM Specialization *
Your answer
How did you hear about the STEMHub Foundation Mentor Program? *
Do you currently have a mentor? *
What are some of the criterias by which you would want to be matched with a mentor? *
Your answer
What are your top concerns with regards to pursuing a STEM career? *
Your answer
Please list a few of your interests and activities. *
Your answer
Anything else you want us to know in order to provide you with a better mentoring match.
Your answer
Do you have a specific mentor, you will like to work with? *
Your answer
What is your preferred method of interaction with your mentor? (Email, skype, phone) *
Your answer
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