USSA and YPY Mentorship Program - Mentor Sign-up Form
RequiredRequired Question(s)
Required 1.
Company Name:
 

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Required 2.

Contact Name: 

 

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Required 3.

Contact Cell Phone: 

 

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Required 4.

Contact email: 

 

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5.

 What is your current job title/function?  


 

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6.

How long have you been in the industry?

 

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7.

 What skills or expertise do you have that you think would benefit a mentee?


 

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8.

What characteristics/qualities do you look for in a mentee?

 

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9.
Have you been a mentor before? If yes, please describe in the comments section how that experience was for you?
Yes
No
  • Comment:

  • 500 characters left.
10.

 How would you prefer to communicate with your mentee (i.e. text, email, phone calls)?


Text
Emails
Phone calls
Other  
  • Comment:

  • 500 characters left.
11.
How would you describe yourself (i.e. sports nut, techie, social butterfly, dog lover, foodie, health nut, traveler etc.)?


 

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12.

 What do you hope to achieve out of your mentor experience?


 

350 characters left.