Mentoring Program | Mentor Application Question Title * 1. Before applying, please be sure you receive your manager's approval to participate in this mentoring program. Yes, I have received my manager's approval. Question Title * 2. Contact information Name Agency Division/Work Unit Job Classification Working Title City of Work Location Work Phone Cell Phone Email Address Question Title * 3. How long have you worked for state government? Question Title * 4. Have you worked for any other state agencies? Yes No Please list what other state agencies you have worked for. Question Title * 5. How long have you been in a management position? Question Title * 6. How many employees do you manage in your current position? Question Title * 7. Provide a brief description of the type of work you do Question Title * 8. Have you previously served as a mentor for this specific program? Yes No Question Title * 9. Have you ever served as a mentor through a formal mentoring program? No Yes If yes, how many? Question Title * 10. Have you ever served as mentor on an informal basis (not through a program)? No Yes If yes, how many? Question Title * 11. State at least three qualities or characteristics you would like to see in a mentee in order for the mentoring to be a productive partnership. 1. 2. 3. Question Title * 12. Select what you consider to be your proficiency level for each of the statewide management competencies. Click here for management competency definitions.). Entry Immediate Proficient Advanced Expert Communication Communication Entry Communication Immediate Communication Proficient Communication Advanced Communication Expert Innovation Innovation Entry Innovation Immediate Innovation Proficient Innovation Advanced Innovation Expert Intentional Engagement Intentional Engagement Entry Intentional Engagement Immediate Intentional Engagement Proficient Intentional Engagement Advanced Intentional Engagement Expert Mentoring and Developing People Mentoring and Developing People Entry Mentoring and Developing People Immediate Mentoring and Developing People Proficient Mentoring and Developing People Advanced Mentoring and Developing People Expert Stewardship Stewardship Entry Stewardship Immediate Stewardship Proficient Stewardship Advanced Stewardship Expert Business Acumen Business Acumen Entry Business Acumen Immediate Business Acumen Proficient Business Acumen Advanced Business Acumen Expert Question Title * 13. What areas of knowledge and skills are you greatest strengths and you would like to pass on to a mentee? Business Acumen (Budget, Procurement, etc.) Seeking new ideas and innovative opportunities Developing new insights into problems/issues and applying creative solutions Building the capacity for change and prudent risk taking Building relationships Building Trust Coaching Dealing with difficult people Flexing your work style Giving feedback Making oral presentations Motivating people Influencing skills Articulating clear thoughts and ideas in multiple settings and audiences Resolving conflicts Taking risks Team building Time Management Understanding organizational politics Ability to foster collaboration and teamwork Question Title * 14. Are you willing to be matched with someone in a different geographic location than you? (Please be advised, this means that travel or video technology will be necessary to meet.) Yes No Done