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WISE Mentoring Application

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

Request a Mentor
Name:
Member No:
Position/Title:
Company:
Business Type:
Manufacturing Health Care Construction
Laboratory Government Service
Education Consulting Other
If you chose "other" business type...
Please Specify:

 

Contact Information:
City:
State:
Country:
Phone:
Email:
Provide a brief description of your current job.

 

What career changes do you expect, if any, within the next 1-3 years?
How can the mentoring program help you?

 

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:

 

Describe any mentoring experiences you have had:
What did you learn from your mentoring experience(s)?
Is there anything else that you think would be helpful for us to consider when evaluating your 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.