* 1. Please enter your contact details:

* 2. Please indicate the number of years experience in your area of expertise.

* 3. Please indicate the languages you are comfortable using during mentoring.

* 4. What main mode of communication do you prefer?:

* 5. Which role(s) do you wish to play in the mentoring program?

* 6. How many hours per month would you like to invest in mentoring?

  As a mentee As a mentor
1-2
3-4
5-6
More than 6
N/A

* 7. Which format do you prefer?

  As a mentee As a mentor
One-on-one
Group (No more than 3)
Either
N/A

* 8. Please let us know any preference you have in terms of your match (we will attempt to align to your preferences, although this may not always be possible):

  As a mentee As a mentor
An entrepreneur
A corporate professional
Same gender
Reverse mentoring (mentor less senior person than mentee)
No specific preference
N/A

* 9. What are your top 3 strengths? (if you're struggling with this one, consider what others might say about you)

* 10. On which area(s) do you wish to focus in the mentoring program? (check all that apply):

  As a mentee As a mentor
Assertiveness
Career Orientation
Career Re-Entry
Change Management
Communication
Conflict Management
Entrepreneurship
Goal-Setting
Leadership
People Management
Personal Branding
Project Management
Purpose
Sales & Marketing
Social Media
Time Management
Work-Life Balance
Working Across Cultures
Visibility
Other

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