Exit this survey Mentor Qualification: Mentoring Program 1. The purpose of this survey is to gather information on the qualifications you possess as a Mentor. The data that you provide will be used to assist Protégés in identifying the right fit for a mentoring relationship. Question Title * 1. Please provide your name: Question Title * 2. What is your job title? Question Title * 3. What is your functional area? Not Disclosed Business Development Chief Executive Officer Clinical Affairs Clinical Reg and Quality Continuous Improvement Corporate Finance Corporate Strategy CSO Domestic Sales Facilities and Real Estate Finance HR Facilities and Administration Human Resources Information Systems Internal Audit International Sales Investor Relations Legal Manufacturing Marketing Marketing - Communications Operations Operations Technical Support Organizational Development and Learning Program Mgmt Quality Assurance Quality Control Quality Engineering R&D Cancer Diagnostic R&D Companion Dx R&D Diagnostics Product Development R&D Discovery Research R&D Instrumentation R&D Product Development R&D Lab Management Regulatory Affairs Research and Development Sales and Marketing Supply Chain Question Title * 4. At which location do you work? Question Title * 5. What type of mentoring are you confident you could provide? Career Development Management Development Leadership Development Personal Development Job Skill Development Issue Resolution Question Title * 6. Please list the experience, skills or knowledge you possess that qualifies you as a mentor. Focus on those areas where you know you have demonstrated success. Question Title * 7. Have you been a mentor before? Yes, I have been a mentor. No, I have not been a mentor. Question Title * 8. Have you managed people? Yes No Question Title * 9. Are you willing to commit both dedicated time and impromptu support when needed? Yes No Done