ASCE OC Mentorship Program: Protégé Application

Thank you for being interested in the 2017-2018 Mentorship Program. Please fill out the application and we'll get back to you by the beginning of September.

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

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

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

* 4. I. What soft 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, land development, airports, construction, entering the public/private sector, owning your own business, etc.)
III. What are you looking to get out of 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.)

* 5. Which part of Orange County is best for you to meet?

* 6. What time is best for you to meet your Mentor?

* 7. Please describe your hobbies and interests outside of work.

* 8. 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.)

* 9. I. Can you commit 1-2 hours to attend the following required events:

Speed Interview Mentoring Event - September 27 and/or September 28, 2017
Mentorship Kickoff Event - October 12, 2017
Mid-Year Check-In Event - April 19, 2018
Closing Mentorship Banquet - August 9, 2018

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

* 10. What professional organizations or institutes are you actively involved in ( AEI, CI, EWRI, APWA, Geo Institute, T&DI, etc.)?