WICT Philly 2020 Mentorship Program Application

(for mentee applicants only)

Anyone applying on or after 2/26/20 will be placed on a waitlist. Thank you.

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* 1. Full name

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* 2. Title

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* 3. Company

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* 4. Primary work location

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* 5. Email

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* 6. Are you comfortable receiving text message reminders throughout the program?

No

Yes. Please provide mobile number:

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* 7. Have you previously participated in the WICT Mentorship Program?

Yes

No

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* 8. Rank the top areas of development for you this year

Career planning

Conflict management

Effective communication

Leadership skills

Strategic networking

Time management

Work-life balance

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* 9. What is one of the biggest challenges you are encountering currently in your career?

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* 10. How will the Mentoring Experience assist you with this challenge and others? What do you intend to gain from the experience?

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* 11. Do you have a preference on the gender of your mentor?

No

Yes, I prefer

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* 12. Do you prefer a mentor from a specific functional area (e.g., Finance, Tech Engineering, Design, Marketing, HR, etc.)?

No

Yes, I prefer

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* 13. Do you have a geological preference (e.g. Center City, NJ, etc.)?

No

Yes, I prefer