MAACME Mentorship Program Interest Survey

We are pleased to announce the MAACME Mentorship Program, which is free to our members. For the program to be successful, we need your help.

What can you expect as part of the Mentorship Program?
Time: 1-2 hours per month, plus a quarterly coaching call for mentors
Communication: Each pair should establish their expectations and preferred method of communication.
You need to have an open mind and be willing to learn and teach, regardless of which role you fill.

This survey will take about 5 minute to complete and you will be contacted regarding your status.

Submissions are due Friday, November 21. The program will kick off in December.

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* 1. Are you willing to commit a minimum of 1-2 hours a week (plus a quarterly coaching call if you are mentor) to take full advantage of this opportunity and contribute to the growth of fellow mentors/mentees?

Yes

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* 2. Name:

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* 3. Email address:

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* 4. What is your time zone?

Eastern

Central

Mountain

Pacific

Other (please specify)

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* 5. Years in industry?

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* 6. What is your organization type/ACEHP member section?

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* 7. Please list your previous volunteer/leadership experience

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* 8. Have you previously participated in an informal or formal mentoring program?

Yes

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* 9. If yes, which role did you fill?

Mentor

Mentee

Both

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* 10. For this program, which of the following roles do you prefer to fill?

Mentor

Mentee

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* 11. Are there specific topics you are interested in learning more about through this program?

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* 12. The program provides value to both mentors and mentees. Which of the following are most important to you? (Select all that apply)

Networking

Exposure to career pathways within the CPD industry

Access to support and resources

Improvement in performance as a leader

Enhanced skills in a professional role

Giving back to the community

Safe place to discuss professional challenges

Improved self-confidence

Conflict resolution/managing difficult situations

Self-awareness and emotional intelligence

Other (please specify)

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* 13. Please select your preference within each of the following statements:

I prefer a hands-on approach to learning

I prefer to give resources and answer questions as they arise

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* 14. Please select your preference within each of the following statements:

I am direct in my communication with others

I carefully choose my words when I offer constructive feedback

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* 15. Please select your preference within each of the following statements:

I take breaks by engaging in small talk with my co-workers

I take breaks by taking a walk alone

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* 16. Please select your preference within the following statements:

I will remember anything you write in an email

I will remember anything you say in a meeting

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* 17. Please select your preference within each of the following statements:

I prefer to work in groups

I prefer to work by myself

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* 18. The specific competencies I would like to develop or pass on:

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* 19. Select your preferred form of communication with your mentor/mentee:

Text

Video conference

Phone

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* 20. Ideally, I would like to meet one-on-one with my mentor/mentee:

Once or twice a week

Bimonthly

Monthly

Thank you for your willingness to serve the MAACME community! We will be in touch soon.