Exit ESIG Mentoring Program Survey Question Title * First Name Question Title * Last Name Question Title * Email Address: Question Title * Are you interested in being a mentor or mentee? Mentor Mentee Question Title * Years of professional work experience or current year in school (indicate whether undergrad or grad level): Question Title * Primary job duties/responsibilities or degree working towards (if in school): Question Title * Rank the topics/areas of interest to you for mentoring discussions (1 = highest; 9 = lowest): 1 2 3 4 5 6 7 8 9 Succeeding in your first job 1 2 3 4 5 6 7 8 9 Effective use of digital tools and/or social media 1 2 3 4 5 6 7 8 9 Tips for early career engineers/technologists/scientists to develop expertise 1 2 3 4 5 6 7 8 9 Promoting inclusion and diversity 1 2 3 4 5 6 7 8 9 Effective proposal/grant writing 1 2 3 4 5 6 7 8 9 Career path questions and tips 1 2 3 4 5 6 7 8 9 Effective presentation skills 1 2 3 4 5 6 7 8 9 Effective networking skills 1 2 3 4 5 6 7 8 9 Effective interpersonal skills Question Title * If you have any other areas/topics of interest, please include them here: Question Title * Do you have a time zone preference for meetings/calls? Yes, US Eastern Time Yes, US Central Time Yes, US Mountain Time Yes, US Pacific Time No Yes, other (please specify) Question Title * Do you prefer a female or male mentor/mentee? Female Male No preference Question Title * Do you prefer to participate in a small coaching circle or a 1 to 1 mentoring relationship? 1 to 1 (Mentor/Mentee) Small Coaching Circle Either Both Question Title * Do you have any other input or feedback to help mentor/mentee or small group matching? If so, please submit below: Page1 / 1 100% of survey complete. SUBMIT RESPONSES
