2026-27 ACHE of Georgia Mentorship Application - MENTOR

2026-27 Mentor Application

We are so excited that you have decided to take on the role of MENTOR in our 2026-27 ACHE of Georgia Mentorship Program. Before committing to join the program, we want to ensure that you understand our purpose and YOUR ROLE in the program. Our program was designed to facilitate the professional growth and development of our members as they navigate their healthcare leadership journey. Mentors are provided with opportunities to help make a lasting impact on the healthcare pipeline and to promote the values of the American College of Healthcare Executives.

As a way to help guide the Mentor-Mentee relationship, we ask that you agree to the following as part of the program:
  • The program runs from mid-October to July 1, 2027. Applicants must be able to commit to the entire program duration, as mentors have set aside dedicated time to provide guidance and support.
  • Look for your Mentee to arrange your first meeting (virtual/F2F) within the first 30 days of the match and be prepared to set at least 3 mutual goals.
  • Engage with your MENTEE at least once per month. Virtual/F2F meetings will happen on an agreed-upon cadence.
  • Review several online documents and surveys that will be completed by your MENTEE throughout the program.
  • Commit to giving your very best during the program.

You will receive an email notification with the name and contact information for your new MENTEE by mid-October. Please SAVE THE DATE for our Mentorship Program Launch EVENT on OCTOBER 22nd from 6:00 pm- 8:30 pm (details to follow). Thank you for being a part of our program!

IMPORTANT: Please submit this application by Friday, September 4, so that we can match mentees and mentors before our program launch event this fall.
1.Demographic information:(Required.)
2.ACHE of Georgia membership level (you must be an ACHE member in Georgia to participate):(Required.)
3.Have you participated in the ACHE of Georgia's Mentorship Program before (check all that apply)?(Required.)
4.Are you currently enrolled as a student?(Required.)
5.What is your current employment status?(Required.)
6.What is your current job title?
7.For better clarity, please tell us what area of healthcare you work in. If you are currently unemployed, leave this blank. (allow up to 3 areas)(Required.)
8.Who is your current employer? If you are currently unemployed, leave this blank.
9.What area of healthcare do you have prior experience in? Check all that apply(Required.)
10.Please indicate your years of experience in healthcare leadership.(Required.)
11.Please enter your highest level of education completed?
12.Please list professional credentials and certifications (i.e., RN/MD, FACHE, PMP, LSS, etc.):(Required.)
13.While we CANNOT GUARANTEE a specific match, do you have a preference for the type of MENTEE you are matched with?(Required.)
14.Are you willing to take on TWO MENTEES?(Required.)
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