ISPE GLA - Mentor Intake Form

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Interested in being apart of the ISPE Greater Los Angeles Chapter WIP Mentorship program? Complete the form below to sign up as a mentor today to to inspire and empower the next generation of leaders!

The ISPE Greater Los Angeles Mentorship program will begin in August with an in-person speed networking kick-off event. This will give the mentors and mentees an opportunity to meet in person prior to being matched.

Email *

Please enter your first & last name. *

ISPE Membership Number. *

Preferred contact phone number *

What is your current job title and company?
*

Please provide your level of education and specialty including your school and program. ie: Bachelors of Chemical Engineering, University of California, Los Angeles
*

Please provide a brief overview of your career path: Role, Company, & Number of years spent in each role.
*

How many mentees would you be willing to take on?
*

Other:

Desired length of mentorship program?

3-months

6-months

8-months

Other:

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Why are you interested in being a mentor?
*

Please share any specific qualities or attributes you are seeking in a mentee. This could include factors such as background expertise, specialization, career goals, or any other criteria you deem important for a successful mentorship relationship.
*

What is a fun fact about yourself?
*

What hobbies do you enjoy?
*

Are you open to being featured on the ISPE Greater LA WIP LinkedIn page as one of our mentors?
*

Yes

Send me a copy of my responses.

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