*Phone (please provide your preferred contact phone number with area code)
*Were you a mentee last year?
If yes, who was your mentor?
Would you recommend this mentor to another Enterprenur?
Why or why not?
*What mentor are looking for?
Other (please list):
*Please select any areas in which you would like to see self-improvement.
Increase confidence in public speaking skills
Enhance confidence with interviewing skills
Learn how to network; define networking strategies
Increase exposure to a job or field
Get advice from professional in field of interest
Acquire feedback regarding my strengths and/or weaknesses
Enhance understanding of how to integrate interests and experience
Other, please specify
List any hobbies or interests
*Statement of interest in the program: Include a brief description of your long-term professional goals. What are the areas where you feel you need development (elaborate on the goals you checked in the question above)?
Note: By submitting this application, I agree that (if accepted into the program) I will take initiative, act in a professional manner, and be respectful of time commitments.