Mentor Application Form
Would you like to be a mentor for someone who might not otherwise have access to a PR network? Please complete this form so we know you are interested and so we can match you up with a PR mentee. Read more about the PR Mentoring Network here:
https://drive.google.com/open?id=1J50WxKH3B8inlzO5IwohH20nGjIPQfenTYB3l1jJ9_g
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
LinkedIn account
Your answer
Other professional social link
Your answer
Business URL
Your answer
City
Your answer
State
*
Your answer
Country
*
Your answer
How long have you been in PR (# of years)?
*
year
1
2
3
4
5
6
7
8
9
10
years (or more)
Where do you currently work (company/organization)?
*
Your answer
What is your current position title?
*
Your answer
What type of company do you work for:
*
PR firm
Other marketing agency
In-house PR position at a company
In-house PR position at a non-profit or government agency
Retired
Other:
How many employees are at your company?
Your answer
Are you the founder of your company?
Yes
No
Clear selection
Which PR functions do you have expertise in:
Media Relations and Placement
Content Marketing
Social Media Marketing
Influencer Marketing
Advertising
Corporate Communications
Copywriting and Editing
Internal Communications
Investor Relations
Other:
Which Industries do you have expertise in:
Consumer Products/Services
B2B Products/Services
Tech / Startups
Social Good
Government
Other:
Write 2-3 sentences about yourself that will help us match you with a possible mentee:
Your answer
Where did you hear about this mentorship program?
Your answer
Send me a copy of my responses.
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