GLASS Mentee Application
The GLASS Mentorship Program provides GLASS members an opportunity to meet and establish a relationship with a mentor who can provide personalized one-on-one career advice. The program is open to Senate staff who are dues-paying members of GLASS. Interested Senate interns are allowed to participate at no cost.

The Mentorship Program is a purely voluntary program designed to establish mentoring partnerships between interested members of GLASS based solely on the information voluntarily supplied by program participants. GLASS does not verify the supplied information for accuracy, does not perform background checks on program participants, and makes no representations or warranties regarding the suitability of program participants.

GLASS is committed to ensuring that the privacy and confidentiality needs of all its members are met and respected. All information gathered through this web form and throughout the Mentorship Program will be kept in strict confidentiality.

You are not required to answer all questions on this application form; however, applicants are encouraged to provide information they believe will facilitate the best possible mentor/mentee match. The Mentorship Committee will attempt to match participants based on their stated preferences.
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Term
Your Contact Information for Mentorship Program Communications
Full Name
Phone
Email
Your Background
Degree Focus
Highest Degree Attained
Current Title
Current Employer
Expertise/Areas of Interest
(e.g., issue area, roles in Leadership offices and Committees, etc.)
Years of Professional Experience
(total, post-college)
Years on Capitol Hill
(excluding internship)
Years Interning on Capitol Hill  
(years and months)
Political Affiliation
(if any)
Career Aspirations
(select all that apply
Clear selection
Sexual Orientation
Gender Identity
Marital/Relationship Status
Children
Native State or Region
Hobbies and Interests
Three words that describe you
Is there anything else you would like your mentor to know before meeting you?
Your Preferences for a Mentor
The information you provide below will give us a better idea of the background and experience you seek in a mentor.  This information is voluntary, but as stated previously you are encouraged to provide as much information as you feel comfortable to facilitate the best match.  The Mentorship Committee will use this information to match you with someone who meets as many of your stated preferences.
Mentor’s Expertise/Areas of Interest
(e.g., issue area, roles in Leadership offices and Committees, etc)
Years on Capitol Hill
Title on Capitol Hill
Highest Degree Attained
Political Affiliation
(if any)
Sexual Orientation
Gender Identity
Native State of Region
Children
(check all that apply)
Marital Status
(check all that apply)
By submitting this form you agree to the following
STATEMENT OF NON-DISCRIMINATION POLICY:   GLASS does not discriminate on the basis of race, sex, religion, disability, age, national origin, political party affiliation, economic status, uniformed service, genetic information, gender identity or sexual orientation.  When matching mentors and mentees, however, the Mentorship Committee will attempt to honor the stated preferences of program participants.

DISCLAIMER:  The Mentorship Program is a purely voluntary program designed to establish mentoring partnerships between interested members of GLASS based solely on the information voluntarily supplied by program participants.  GLASS does not verify the supplied information for accuracy, does not perform background checks on program participants, and makes no representations or warranties regarding the suitability of program participants. While GLASS hopes that all participants have a positive mentoring experience, GLASS does not exercise or retain any control over the mentor/mentee relationship once established.  Program participants assume all risks associated with participation in this program.

APPLICABILITY OF SENATE RULES:  Senate Rules apply to any activities conducted pursuant to the Mentorship Program.

STATEMENT OF COMMITMENT TO CONFIDENTIALITY:  One of the cornerstone values of GLASS is confidentiality, and GLASS is committed to ensuring that the privacy and confidentiality needs of all its members are met and respected.  As a condition of participation in the GLASS Mentorship Program, every applicant to the Program must sign a confidentiality statement in which they agree to keep in strict confidence all private and/or confidential information they learn through their participation in the Mentorship Program regarding any individual, organization or business. Program participants may be disqualified from further participation in the Mentorship Program at any time by the GLASS Steering Committee for any action that violates the letter or spirit of this statement of confidentiality and may forfeit their membership in GLASS.

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