Please fill out the questions below to apply to be a mentee with Avenue to the Boardroom, a project of Corporate Directors Forum Institute in collaboration with REF San Diego. We plan to inform mentees of their selection by December 6, 2024.

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* 1. First Name:

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* 2. Last Name:

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* 3. Current Job Title:

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* 4. Current Place of Employment:

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* 5. Email Address:

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* 6. Mobile Phone:

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* 7. LinkedIn URL:

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* 8. Why do you wish to be a mentee in this program? (Limit to 200 words. You may wish to write and edit it in Word, and then copy and paste in here.)

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* 9. How can a mentor be most helpful to your board goals? (Limit to 200 words. You may wish to write and edit it in Word, and then copy and paste in here.)

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* 10. Have you been mentored in the past in your pursuit of a board seat? (Limit to 200 words. You may wish to write and edit it in Word, and then copy and paste in here.)

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* 11. Have you served/do you currently serve on a for-profit board?

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* 12. Have you served/do you currently serve on a not-for-profit board?

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* 13. How many years have you been working in a professional context?

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* 14. What is the highest-level title you have held?

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* 15. *Optional*

Please share any other details you would like the program directors to know about.

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