NAWIC ACT | MENTORING PROGRAM Application for Mentees Question Title * Personal Information Name Email Address Phone Current Role Current Company Question Title * 1. What are you hoping to get out of the mentoring program? Question Title * 2. Can you summarise your background/career history? Question Title * 3. What are you looking for in a mentor? Question Title * 4. Would you prefer to have a female mentor? Yes No Question Title * 5. Can you commit to an in-person session on a weeknight once a month? Yes No Question Title * 6. Please type "I acknowledge" in the answer field to indicate that you accept and acknowledge that the mentoring workshops take place on a weeknight, after business hours. Question Title * Any other comments: THANK YOU! Done