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Mentee Application Form
We appreciate your interest in becoming a mentee at Canisius College. The information completed below will help us determine a potential match for any of our current mentors.
Full Name (First and Last)
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Your answer
Today's Date
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MM
/
DD
/
YYYY
Current Position Title
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Your answer
Department
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Your answer
Personal Phone Number
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Your answer
Preferred Mentoring Schedule
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Bi-weekly
Monthly
Flexible
As needed/requested
Period of Time Interested in being Mentored
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6 months
1 year
Ongoing
Please select the Topics/Areas where you would like to build your skills:
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Communication Strategies
Decision Making
Personal Career Counseling (including career ladders, certifications, further education resources)
Essentials of Supervising
Budgeting/Financial Analysis/Metrics
Understanding Higher Education
Strategic Leadership
Human Resources Management
Work/Life Balance Strategies
Other:
Required
Do you have a proposed preferred mentor? If so, please list their name(s) below:
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Your answer
Please write a statement describing your career goals that a mentoring relationship would help you achieve:
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Your answer
Send me a copy of my responses.
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