CUPPA SACC Mentor Application 2012
Current job title
Length in this position
Work phone number
When are you able to participate in mentoring activities?
Check all that apply
Please specify days and times, if necessary
i.e. Monday evenings, Thursday lunchtime
Where are the best locations for you to take part in mentoring activities?
i.e. UIC campus, mentor's office, café/restaurant, etc
Previous positions held and length of time in each position
What are your short (1 – 2 years) and long (3 – 5 years) term career goals?
Please check all skills, experiences and knowledge areas in which you would like to provide mentoring:
Community development (city/regional planning)
Contracts and grants
Economic development (real estate finance and development)
Environmental (sustainability/sustainable development)
Finanace and accounting
General skills (communication, time management, project management, ethics)
Government (local, state, federal)
Housing (accessibility, affordable, preservation)
Technology (GIS, programming, database management)
Public participation (surveys, mediation)
Transportation (funding, management, planning)
Have you served as a mentor or protégé (“mentee”) in the past? If so, when?
What are your expectations of the CUPPA Mentoring Program?
Name three specific goals you have as a participant in the mentoring program.
What steps have you taken to enhance your job performance, competencies, and skills over the past 2 to 3 years?
If you have a prospective protégé in mind, write his/her name below. If a match is possible, we will try to honor your request.
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