1.Please enter your first and last name

2.Please populate your email address

3.Would you like to be a Mentor or Mentee? Note: A Mentor must be a manager and above. Anyone can be a mentee.

Mentor

Mentee

Both

4.What industry are you currently working in? (Select all that apply)

Consulting & Advisory

Technology & Software

Finance & Banking

Healthcare & Pharmaceuticals

Manufacturing & Supply Chain

Retail & Consumer Goods

Media & Entertainment

Government & Public Sector

Nonprofit & Social Impact

5.What industries are you most interested in learning about?

6.What skills are you looking to develop? (Select up to 3)

Executive Presence & Communication

Leadership & People Management

Strategic Thinking & Decision-Making

Networking Strategies For Career Advancement

Business Development & Sales

Financial Acumen & Accounting

Information Technology

Change Management

Project Management & Product Management

Import and Export

Management Consulting

7.What type of mentorship would be most valuable to you?

One-on-one mentoring with an executive

Group mentoring sessions

Industry-specific insights from executives

Career coaching & leadership development

8.How would you prefer to engage with your mentor? (Select all that apply)

Virtual meetings (Zoom/Teams)

In-person meetings (local availability permitting)

Email or asynchronous communication

Short-term project-based mentoring

9.What training formats do you prefer? (Select all that apply)

In-person workshops

Online live webinars

Pre-recorded online courses

Peer group discussions & networking

10.What is your current role or level of experience?

Early Career (0-5 years of experience)

Mid-Career (6-15 years of experience)

Senior Leader (15+ years of experience)

11.What challenges are you currently facing in your professional growth?

12.What qualities or background would you prefer in a mentor? (Select all that apply)

Someone from my industry

Someone with a similar career path to mine

Someone with executive leadership experience

Someone who can provide career transition guidance

No preference

13.What is your primary goal for joining this mentorship program?

Career advancement

Expanding my professional network

Gaining industry insights

Improving leadership skills

14.Is there anything else we should know to help match you with the right mentor?