MassBayODLG Mentor/Mentee Inquiry Form
Required Required Question(s)
Required 1.

Are you interested in being a MassBayODLG mentor or mentee?

 
Mentor
Mentee
  • Comment:

  • 500 characters left.
Required 2.

Please enter the information indicated below.

 
First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
City:

Required 3.

Are you a current member of the MassBayODLG?

 
Yes
No
Required 4.

What areas of OD do you have experience?

 
Leadership
Team Development
HR Consulting
Change Management
Appreciative Inquiry
Conflict Resolution/Mediation
Training
Performance Development
Coaching
Diversity Training or Consulting
Other  
  • Comment:

  • 500 characters left.
5.

Are there 1-2 areas of OD you want to gain experience?

 

 

 
Leadership
Team Development
HR Consulting
Change Management
Appreciative Inquiry
Conflict Resolution/Mediation
Training
Performance Development
Coaching
Diversity Training or Consulting
Other  
  • Comment:

  • 500 characters left.
Required 6.

What are you hoping to gain from this experience (please be as specific as possible)?

 
 

  • 1000 characters left.
Required 7.

The MassBayODLG Mentoring Program requires you to spend a minimum of 15 hours over a 3 month period.  The next cycle will be starting January 15th.  Are you willing/able to meet this minimum requirement between approximately January 15 - March 15, 2011?

 
Yes
No
  • Comment:

  • 500 characters left.
8.

Is there anything else you would like us to know, relevant to the mentor/mentee program?

 

 
 

  • 1000 characters left.