2022 Mentor Sign-Up Form Question Title * 1. Contact & Background Information Name Email Phone Number Company Name Current Job Title Professional Certifications Years in the Water Industry Question Title * 2. Over the course of the program, participants are expected to schedule six one-on-one meetings with their mentor (est. 1 hour each). There will also be opportunity to join four full group webinars (est. 1 hour each). Are you able to meet this commitment? Yes No Question Title * 3. Program participants are also strongly encouraged to attend WQA's Convention or Mid-Year Leadership Conference (MYLC). Are you able to attend one or both of these in-person events? Yes No Question Title * 4. Briefly describe what you do and how you engage with the broader industry Question Title * 5. Who would benefit from your mentorship? List 2-3 characteristics/attributes of a mentee that would match well with you. Question Title * 6. Help mentees get to know you better. What happens outside of the office? Select up to 3 option below. I hope to travel the world I push to get out of my comfort zone I am a parent I am an eternal volunteer Constant learner I wake up early to see the sunrise My spirit animal is a night owl Coffee is my fuel Sports fan over here Resource guru I always have music playing Bookworm I go off script in the kitchen I am a huge pet person Other (please specify) Question Title * 7. What are your expectations for WQA and your mentee? Done