2022 WICT Inspire Mentorship Program Application 2022 WICT Inspire Mentorship Program Application The following is an application with practical and personal questions used to assist in the successful pairing of mentors with mentees, if chosen for the mentorship program. OK Question Title * 1. Contact information you will share with your mentor/mentee: Name * Company * Work Address * Work Address 2 City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number * OK Question Title * 2. What is your current position title, department, and branch? OK Question Title * 3. As a member of this program, I will make a concerted effort to be available for my partner at least monthly, reaching out via email, text, or telephone. This includes being available during normal working hours, or time-frames agreed upon together. Type "I agree" below. OK Question Title * 4. Are you applying to be a Mentor or Mentee? Mentor Mentee OK NEXT