Mentor Program Sign-Up 2015-2016: American Planning Association, Southeast PA Chapter
Yes, I will serve as a mentor!

Please submit this form and EMAIL YOUR RESUME to planningmentorpa@gmail.com by Friday, September 18.

* We will match you with a mentee and email your information to each other.

* Students are responsible for making the initial contact with mentors within one week of notification.

* Mentors agree to be available four times during the year (more often only if you agree to additional interactions). The relationship should be one of guidance and advice; students do NOT expect you to find them a job.

* Interactions may be via phone, email, face-to-face meetings, office visits, or planning-related events (flexible based on mentor / mentee availability and preferences).

Thank you for your participation!  If you have any questions, please email Eleanor Horner, Ashley Nuckles or Jeannette Brugger or Abby Poses at planningmentorpa@gmail.com.  
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First Name *
Last Name *
Title
Company *
Address
Phone
Email *
Please indicate the number of students you are willing to mentor. *
Indicate up to 3 area(s) of interest. *
If you choose multiple options, please indicate in the "Other" box the area in which you consider yourself most qualified to mentor. This will help us to match mentor and student interests and experiences.
Required
Indicate your first area of interest or specialty *
This should be the area you consider yourself most qualified to mentor and  will help us to match mentor and student interests and experiences.
Indicate your 2nd area of interest or specialty *
This should be the area you consider yourself most qualified to mentor and  will help us to match mentor and student interests and experiences.
Indicate your 3rd area of interest or specialty *
This should be the area you consider yourself most qualified to mentor and  will help us to match mentor and student interests and experiences.
Please indicate in which sector(s) you have the most planning experience *
Required
Additional considerations – Do you have a particular specialization? Preferences about whom you mentor?
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