Caltrans CMPP: Mentor Application

Mentor Participant Profile

Thank you for your interest in applying to the Caltrans Construction Mentor Protégé Program (CMPP) as a Mentor.

Mentors will provide expertise and guidance for Protégés who are either certified, or eligible for certification for Small Business (SB), Disadvantaged Business Enterprise (DBE), and/or Disabled Veterans Business Enterprise (DVBE) firms in California with an active contractor’s license issued by the California Contractors State License Board (CSLB). The Protégés are looking to build their knowledge and confidence to participate in Caltrans public works contracting opportunities.

Participation in the program is voluntary for both Mentors and Protégés.

The information collected on this application will only be used for the purpose of evaluating your eligibility for participation as a Mentor in the CMPP and to notify you and others of program information.

This application should take less than 10 minutes to complete.

Question Title

* 1. Contact Information

First Name

Last Name

Email Address

Phone

Question Title

* 2. IMPORTANT: As a mentor you will be required to participate both virtually and in person.

In what Caltrans district are you looking to be a mentor? Select all that apply.

District 01 Del Norte, Humboldt, Mendocino and Lake counties

District 02 Siskiyou, Modoc, Trinity, Shasta, Lassen, Tehama and Plumas counties

District 03 Glenn, Butte, Sierra, Colusa, Sutter, Yuba, Nevada, Placer, Yolo, Sacramento, and El Dorado counties

District 04 Sonoma, Napa, Solano, Marin, Contra Costa, Alameda, San Francisco, San Mateo and Santa Clara counties

District 05 Santa Cruz, San Benito, Monterey, San Luis Obispo and Santa Barbara counties

District 06 Madera, Fresno, Kings, Tulare and Kern counties

District 07 Ventura and Los Angeles counties

District 08 San Bernardino and Riverside counties

District 09 Mono and Inyo counties

District 10 Amador, San Joaquin, Calaveras, Alpine, Stanislaus, Tuolumne, Merced and Mariposa counties

District 11 San Diego and Imperial counties

District 12 Orange County

Question Title

* 3. Years of Experience: Please indicate the number of years you, as an individual, have with the following experience. Directions: Enter years as a whole number for all rows.

Public Works

Roadway Construction

Caltrans

Mentoring a protégé

Question Title

* 4. Job Title

Question Title

* 5. What are your primary objectives for engaging in the CMPP? Please select the three most important outcomes you hope to attain from your participation.

	Primary Outcome	Secondary Outcome	Tertiary Outcome
Build relationships with Protégé	Build relationships with Protégé Primary Outcome	Build relationships with Protégé Secondary Outcome	Build relationships with Protégé Tertiary Outcome
Increase utilization of Protégés on bids	Increase utilization of Protégés on bids Primary Outcome	Increase utilization of Protégés on bids Secondary Outcome	Increase utilization of Protégés on bids Tertiary Outcome
Provide industry best practices for Protégé	Provide industry best practices for Protégé Primary Outcome	Provide industry best practices for Protégé Secondary Outcome	Provide industry best practices for Protégé Tertiary Outcome
Learn from my mentor peers	Learn from my mentor peers Primary Outcome	Learn from my mentor peers Secondary Outcome	Learn from my mentor peers Tertiary Outcome
Connect with Caltrans and Prime Contractors	Connect with Caltrans and Prime Contractors Primary Outcome	Connect with Caltrans and Prime Contractors Secondary Outcome	Connect with Caltrans and Prime Contractors Tertiary Outcome
Other	Other Primary Outcome	Other Secondary Outcome	Other Tertiary Outcome

If you indicated other, please specify.

Caltrans CMPP: Mentor Application

Mentor Participant Profile

Question Title

* 1. Contact Information

Question Title

* 2. IMPORTANT: As a mentor you will be required to participate both virtually and in person. In what Caltrans district are you looking to be a mentor? Select all that apply.

Question Title

* 3. Years of Experience: Please indicate the number of years you, as an individual, have with the following experience. Directions: Enter years as a whole number for all rows.

Question Title

* 4. Job Title

Question Title

* 5. What are your primary objectives for engaging in the CMPP? Please select the three most important outcomes you hope to attain from your participation.

* 2. IMPORTANT: As a mentor you will be required to participate both virtually and in person.

In what Caltrans district are you looking to be a mentor? Select all that apply.