EmailMeForm
Women’s Initiative Mentorship Program Application
Mentor Application
Name
First
Last
Email
Phone
###
-
###
-
####
Employer:
Title:
Years of Experience:
LinkedIn/Social Media
Age Range:
<25
25-34
35-44
45-54
55-64
65+
Photo
Have you previously been a mentor/mentee?
Yes
No
If yes, please describe:
Preferred communication:
Phone
Email
Text
Virtual Meeting
Most Desirable Time of Day:
Mornings
Afternoon
Evenings
How do you spend your time outside of work? Please share hobbies, interests, volunteer work charitable activities, community, or other pursuits.
Is there any other information about you or ideas you would like to share that you believe might be relevant to a mentorship?
Which of the following describes you the best?
Career Changer
Young Superstar
Solo Business Owner
Large Firm Employee Advisor
Evaluate the following statements.
Not at all important
Slightly Important
Fairly Important
Most Important
N/A
Positioning myself for career advancement or career transition
Expanding my professional network
Advice on leadership skills and how to get promoted
Help with specific challenges in my current position (such as resolving conflicts, accessing career-relevant resources, working in a male-dominated environment/industry, building relationships inside and outside my company)
Harassment and #MeToo
Obtaining introductions to specific people in my industry or profession
Encouragement and guidance related to life and career (help with work-life balance and setting boundaries)
Balancing work and life as a mother, expectant mother, family caretaker
New opportunities
Income inequality
Gender bias in the workplace
Mental health in the workplace
What are you hoping to gain from the experience of participating in the Women’s Initiative Mentorship Program?
What do you hope the mentee will gain?
How have you been involved with the NAPFA Women’s Initiative?
I have been a participant in a NAPFA Women's Initiative conversation circle
I am a member of the NAPFA Women’s Initiative Community Forum Facebook group
I have attended a NAPFA Women’s Initiative conference networking event
I have not previously been involved in the NAPFA Women’s Initiative
Can you meet the program requirements of meeting at least once per month from May to October?
Yes
No
Do you plan to attend the NAPFA Spring 2023 National Conference in San Diego on May 8 - 10?
Yes
No
Unsure
Do you plan to attend the NAPFA Fall 2023 National Conference in Louisville on October 18-21?
Yes
No
Unsure
Did you participate in last year’s mentorship program?
Yes
No
Would you be interested in being a [mentor/mentee] liaison to the Mentorship Committee?
Yes
No
