NextGen Mentee Application
RequiredRequired Question(s)
Required 1.
Please enter the indicated information below. 

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
Cell Phone:

Required 2.

What is your date of birth?(MM/DD/YY)

 

50 characters left.
Required 3.
What type of mentor are you seeking? Being detailed ensures the best match!
 

350 characters left.
Required 4.
Please select any of the following that you would like to be considered when being matched with a mentor. 
Industry Knowledge
Career Interest
Life Experience
Career Goals
Technical Skills
Personality
Job Description
  • Comment:

  • 500 characters left.
Required 5.
Please identify your current industry, position, and the number of year's you have been there. 
 

50 characters left.
Required 6.
Please share your community or extracurricular interest and experience outside of your position/company. 
 

350 characters left.
Required 7.
What do you hope to gain from being mentored? 
 

350 characters left.
The NextGen Mentoring Program is designed to be an nine-month commitment for mentor and mentee. The program will begin with the March 15th Kick- Off event for all matches and will culminate with a recognition ceremony at the November Business After Hours.

The program fee of $300, which includes all expenses, is to be paid upon acceptance into the program.
 
During the nine-month period, mentors and mentees will:
  • Attend the March 15th Kick-off event
  • Attend the Midpoint Check-In meeting

  • Attend the November 10th Mentee Graduation
  • Meet at least three times outside of the scheduled NextGen Mentoring events (may be virtual)
  • Attend additional Chamber business and networking events together as schedules permit