Welcome to WAIT Mentoring Application Form

Thanks for your interest in the WAIT Mentoring Program. This application will require you to complete a one-page essay that outlines what you hope to gain from the WAIT Mentoring Program, such as: what you are looking for in a mentor, your career goals, and your aspirations for your personal and professional future. There will also be a short survey at the end. The deadline for applications is June 30, 2021.You must enter your personal information below in order to submit this form.

Personal Details

First Name *

Last Name *

Email Address *

Phone Number *

Company

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

LINKEDIN / URL

SHORT BIO *

UPLOAD PHOTO *

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List three objectives that you’d like to accomplish through this Mentoring Program *

Based on your self-assessment, please list the 1-2 areas that you want to work on through a mentoring relationship: *0 / 180

Based on your self-assessment, please list the top 1-2 skills/competencies that are your strongest. These are the strengths that you will bring to the mentoring relationship *

Commitment is critical to the success of the Mentoring relationship. Are you able to commit to the time requirements and communication with your Mentor for the duration of the program? *YesNo

Please provide any additional information you need or questions you have regarding mentoring and this mentorship program: *

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Welcome to WAIT Mentoring Application Form

Personal Details

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