EDCO Mentorship Program – Mentee Intake Form

So you are interested in becoming a Mentee…

The information you provide below will assist EDCO Staff in recommending a Mentor that best suits your educational, professional or personal needs.  Every attempt will be made to pair you with your preferred Mentor (if indicated) however availability and commitment may affect our ability to do so.

By completing this application, you acknowledge that the information provided will be used by EDCO solely for the purposes of Mentor / Mentee matching. You also agree to respect the confidentiality of the mentoring relationship. Discussions that take place with your mentor shall remain private and will not be shared with anyone unless agreed to by each party.
1.In this section, please provide your contact information.(Required.)
2.How long have you held your current job? AND How long have you worked in Economic Development?
3.Briefly outline your educational background.
4.Do you have a preferred Mentor?
5.What is your reason for applying to be a Mentee and what are you looking to gain from the program?
6.What are your major career interests and goals?
7.Describe the top three skills or competencies you would like to strengthen by working with a mentor.
8.What hobbies or interests do you have outside of work?
9.Have you previously participated in a formal Mentorship Program?
10.Is there anything else we should know about you in order to make a good Mentor match for you?