* 1. From the list below please choose why a mentorship program might be valuable to you (select all that apply):

* 2. Based on the profiles above (Mentor and Protégé) would you be a mentor or mentee? Please elaborate on why you identify with that role.

* 3. What confuses you about Facility Management, or what would you like to learn more?

* 4. Show your level of interest in participating in the Mentorship Program as a protégé.

* 5. Do you want to be paired with someone in the same market segment (ie Healthcare, Corporate, Academic, Public Sector, Consultants)? Why or why not?

* 6. What type of professional development, education, training or knowledge would you like to receive as being a part of the Emerging Leader Mentorship Program?

* 7. Please show your level of commitment per month to the Mentorship Program:

* 8. How would you like to communicate with a mentor? (Check all that apply):

* 9. What additionally would you like to get out of the Mentorship Program? Please tell us how you would like to see the Mentorship Program shaped.

* 10. Do you plan on attending World Workplace in Philadelphia this October?

* 11. If you would like to participate in the Mentorship Program, please provide your name and email address.

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