WEST Mentor Interest Survey

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Outline of the program

The WEST Mentoring Program aims to help mentees achieve a personal or career goal by enabling dynamic non-traditional groups to provide perspectives from multiple mentors and peers, so that focused actions are developed and implemented.

Description

In order to provide an empowering and enriching experience, discussion topics will be solicited from mentees on a per-meeting basis. This flexibility will enable mentees to evolve their topic selections as they progress through the program. Mentees will also be allowed to suggest specific topics of their own interest. In this way, the program seeks to be responsive to mentee needs.

In the pilot program there will be 1 kickoff meeting on 9/29 (with training information, goal setting exercise, 1 sample pod session); 3 meetings on 10/13, 10/27, and 11/10 (networking and 2 pod sessions, total time per meeting is 2 hours). Total time commitment: 8 hours over 4 meetings 9/29, 10/13, 10/27 and 11/10 plus prep time for each meeting. Additional details can be found here - https://www.westorg.org/2020-mentoring-program

The dynamic “pod” structure will have mentors who address questions in two topics per evening, with 1-3 mentees who rotate to 2 different breakout rooms of their choice per session. If demand for a topic is great, a mentor may be called on to address one topic with 2 different cohorts of mentees in a given evening. Mentors will know ahead of the event what topics they will cover.

Mentee cohorts will change as they move to different tables. In this way, mentees will be able to receive input from multiple mentors and multiple mentee peers over the course of the program.

https://www.westorg.org/2020-mentoring-program-mentor

Question Title

* 1. Certification of understanding (Note: You need to agree to all of these)

I understand that this is a group mentoring program, not one-on-one

I certify that I have read and understood the rules and expectations for mentors https://www.westorg.org/2020-mentoring-program-mentor

I certify that I understand the absolute requirement for confidentiality https://www.westorg.org/2020-mentoring-program-confidentiality

I am willing and open to sharing my experiences and providing thoughtful discussion/ feedback to mentees and fellow mentors

I will respect the opinion of others and treat others with respect at all times, and strive not to show bias of any kind

I understand the concept of mentoring as being mentee-driven, will facilitate the mentees’ ability to do so, and will not dominate the conversations

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* 2. Contact Information

Name

Company

Email Address

Phone Number

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* 3. Share your job title and department as well as a short description of your role, expertise, and/or experience.

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* 4. Are you a WEST member?

Yes

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* 5. How many years of work experience do you have (include postdoc)?

6-10 years

11-15 years

16-20 years

21-30 years

>31 years

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* 6. Why are you interested in participating in the WEST mentoring program? (50 words or less)

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* 7. Have you previously served as a mentor?

Yes

WEST Mentor Interest Survey

Page 1

Question Title

* 1. Certification of understanding (Note: You need to agree to all of these)

Question Title

* 2. Contact Information

Question Title

* 3. Share your job title and department as well as a short description of your role, expertise, and/or experience.

Question Title

* 4. Are you a WEST member?

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* 5. How many years of work experience do you have (include postdoc)?

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* 6. Why are you interested in participating in the WEST mentoring program? (50 words or less)

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* 7. Have you previously served as a mentor?

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* 8. If yes, what type of program was it? (formal or informal, through work or through an organization, one-to-one or group) How did it go?