ASCE OC Mentorship Program: Protégé Application

Thank you for being interested in the 2018-2019 Mentorship Program. Please fill out the application and we'll get back to you by the beginning of September.

I. Full Name (First and Last)
II. ASCE Membership Number (please make sure your membership is currently active)
III. Current Employer
IV. Is your Current Employer a Private or Public Entity?
V. Cell Phone or Work Number (For Committee Purposes Only - Not For Distribution)
VI. Email Address (Personal or Work Email - Must be checked frequently)

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* 1. I. Full Name (First and Last)
II. ASCE Membership Number (please make sure your membership is currently active)
III. Current Employer
IV. Is your Current Employer a Private or Public Entity?
V. Cell Phone or Work Number (For Committee Purposes Only - Not For Distribution)
VI. Email Address (Personal or Work Email - Must be checked frequently)

How many years have you worked in the industry? (Not including PhD program if applicable)

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* 2. How many years have you worked in the industry? (Not including PhD program if applicable)

I. Have you been in the Mentorship Program before?
II. If yes, Please specify which years.

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* 3. I. Have you been in the Mentorship Program before?
II. If yes, Please specify which years.

I. What soft skills and professional development skills are you interested in receiving mentoring? (presentations, contract/salary negotiations, networking, client relations, conflict resolution, work-life balance, etc.)
II. What disciplines are you interested in receiving mentoring? (civil, environmental, geotechnical, transportation, land development, airports, construction, entering the public/private sector, owning your own business, etc.)
III. What do you hope to achieve through the Mentorship Program? (trying to move up at your current company, build a relationship for future endeavors, looking to switch jobs, establishing a professional relationship, etc.)

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* 4. I. What soft skills and professional development skills are you interested in receiving mentoring? (presentations, contract/salary negotiations, networking, client relations, conflict resolution, work-life balance, etc.)
II. What disciplines are you interested in receiving mentoring? (civil, environmental, geotechnical, transportation, land development, airports, construction, entering the public/private sector, owning your own business, etc.)
III. What do you hope to achieve through the Mentorship Program? (trying to move up at your current company, build a relationship for future endeavors, looking to switch jobs, establishing a professional relationship, etc.)

Which part of Orange County is best for you to meet up with a Mentor?

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* 5. Which part of Orange County is best for you to meet up with a Mentor?

What time is best for you to meet up with a Mentor?

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* 6. What time is best for you to meet up with a Mentor?

What kind of group activities would you be interested in attending during the program? (hiking, happy hours, mini-golfing, bowling, bike rides, beach bonfire, paint and wine night, etc.)

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* 7. What kind of group activities would you be interested in attending during the program? (hiking, happy hours, mini-golfing, bowling, bike rides, beach bonfire, paint and wine night, etc.)

I. Can you commit 1-2 hours to attend the following required events (dates are subject to change):

Speed Interview Event - September 18 and/or September 19, 2018
Mentorship Kickoff Event - October 30, 2018
Mid-Year Check-In Event - April 10, 2019
End-of-Year Mentorship Program Banquet - August 7, 2019

II. If applicable, will your office be able to provide a conference room for one or more events as listed above?

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* 8. I. Can you commit 1-2 hours to attend the following required events (dates are subject to change):

Speed Interview Event - September 18 and/or September 19, 2018
Mentorship Kickoff Event - October 30, 2018
Mid-Year Check-In Event - April 10, 2019
End-of-Year Mentorship Program Banquet - August 7, 2019

II. If applicable, will your office be able to provide a conference room for one or more events as listed above?

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