Mentor Application
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First Name *
Last Name *
Email *
Telephone *
Company/Organization *
City, State
Indicate on a scale from 1 (very unimportant) to 5 (very important) the relevance of each criterion in pairing you with your mentee *
1-Very unimportant
Unimportant
Neither Unimportant or Important
Important
5-Very important
Knowledge of how to build collaborative relationships and projects.
Knowledge of how to manage projects.
Knowledge of how to develop leadership skills.
Knowledge of how to develop technical skills.
Knowledge of how to develop presentation skills.
Knowledge of how to navigate work/life balance issues.
Knowledge of accomplishing a career change.
Knowledge of how to become more involved in the ASA.
What are your goals for participating in the program as a mentor? *
If needed, would you be willing to be assigned 2 mentees *
Additional Comments or Questions
Thank you!
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