WEN OK MENTOR CIRCLES APPLICATION 2022-2023

APPLICATIONS DUE FRIDAY, AUGUST 5, 2022

The WEN Mentoring Circles Program is a mentor facilitated peer-to-peer mentoring program to provide you with networking and professional development opportunities. This program is open to all WEN members who are interested in participating as a mentor or mentee. All memberships must be active and paid to participate.

The program begins September 2022 and runs through May 2023.

APPLICATIONS DUE NO LATER THAN FRIDAY, AUGUST 5, 2022.

Part I. Participant Information

Question Title

* 1. Applying to be a Mentor or Mentee

Mentor

Mentee

Question Title

* 2. Contact Information

First Name

Preferred Name (if different than First)

Last Name

Preferred Email

Current Company Email

Work Phone

Cell Phone

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* 3. Current WEN Status

Current

Expired

Unknown

Other (please specify)

Question Title

* 4. Gender

Male

Female

Other (please specify)

Question Title

* 5. Career Specifications

Current Job Title (if applicable)

Current Department (if applicable)

Current Supervisor's Name (if applicable)

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* 6. Current Employment Status

Employed Full-Time

Employed Part-Time

Unemployed

Student

Other (please specify)

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* 7. Current Company

Question Title

* 8. Current Career Level

Individual Contributor - Entry (1-5 years)

Individual Contributor - Intermediate (5+ years)

New People Leader (1-5 years)

Experienced People Leader (5+ years)

Executive

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* 9. Current Function

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* 10. Total Years of Work Experience

0-3 years

4-8 years

9-15 years

16-20 years

21+

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* 11. Total Years of Working in Energy Industry

0-3 years

4-8 years

9-15 years

15-20 years

21+ years

Question Title

* 12. Total Years of Supervisory Experience

0-3 years

4-8 years

9-15 years

15-20 years

21+ years