2022-2023 Mentor Application
Fill out this form if you are interested in participating as a MENTOR in HPBA's Women's Mentoring Program when it resumes for a second time in 2022-2023.

The mentoring program is for women HPBA members in the hearth and outdoor living industry.

Please fill out the form below to sign up to be a mentor. If you also would like to sign up to be a mentee, fill out the mentee form (https://forms.gle/LVPCoCBzNv7qMZAL8).

Contact Rachel Feinstein (feinstein@hpba.org) if you have any questions.

Learn more on our website: http://www.hpba.org/womensmentoringprogram
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Email *
Are you a current HPBA member (this is an HPBA-member-only program)? *
If you are not sure whether you're an HPBA member, we will reach out to you to confirm your membership status.
Name (First and Last) *
Title *
Company Name *
Company: Street Address *
Company: City, State/Province, Zip Code *
Preferred contact phone number (XXX-XXX-XXXX): *
What kind of phone number is your preferred contact number? *
Sector *
Years worked in the industry *
Years worked in another industry (please also mention which industry)
Your ideal mentee would work in what sector *
Required
Do you have a preference regarding where your mentor is located? *
Why are you interested in becoming a mentor? *
What areas of experience could you share with your mentee? *
How would you describe yourself in one sentence? *
How would you describe your ideal mentee? *
At the end of the five month structured mentoring period, what would constitute a successful outcome for you personally? *
Is there any other information you'd like to share?
A copy of your responses will be emailed to the address you provided.
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