Mentor Request

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WISE Mentoring Application

ALL OF THE FOLLOWING SECTIONS MUST BE COMPLETED IN ORDER TO BE CONSIDERED FOR THE PROGRAM

    Indicates required field
Name:     
Member No:     
Position/Title:     
Company     
Business Type   
 

 

If you choose "other" business type...   
Please Specify:     

 

Contact Information:   
City     
State     
Country     
Phone     
Email     

 

Provide a brief description of your current job.   
Current Job     

 

What career changes do you expect, if any, within the next 1-3 years?

  
Career Change     

 

How can the mentoring program help you?   
Mentoring Program     

 

Describe the key developmental needs you would like to work on now. Some examples include career planning, influence management, career/family balance, strategic thinking, negotiating politics, understanding business culture and network development:   
Key Developments     

 

Describe any mentoring experiences you have had:   
Mentoring Experiences     

 

What did you learn from your mentoring experience(s)?   
Learn From Mentoring     

 

Is there anything else that you think would be helpful for us to consider when evaluating your application?   
Evaluating Application     

 

Matches are made in March and September. Three WISE Mentoring Committee members will review your application. During those months, you will be matched with a mentor or referred to the New Graduates Program. If you have any questions, contact one of the committee members listed below.

ChapterWISE

ChapterWISE Rep list

ChapterWISE is a team of representatives that coordinate local WISE events. Our team has monthly, 30-minute phone calls to share ideas about what we want ChapterWISE to be overall and to share information about activities we've done and those that are coming up. We send out monthly updates with Talking Points so each representative can share what WISE is doing at their chapter meetings. Activities for each chapter vary depending on the representative and WISE members of the chapter. If you're interested or want more information, contact leslijohnson@chubb.com, susangould@esiconstruction.com, or melissas@ping.com.

 
 

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American Society of Safety Engineers
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Park Ridge, IL 60068