2021 ARPM Mentor Application Survey

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* 1. Contact Information

Name

Company

City/Town

State/Province

Email Address

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* 2. What is your current job title?

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* 3. Briefly describe your path to getting to your current job position?

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* 4. What is your functional area in the Rubber Industry?

Sales/Marketing/Business Development

Senior Leader/Owner

Operations/Engineering

Human Resources/Safety

Finance/Accounting/Purchasing

Quality

Warehouse

Other (please specify)

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* 5. Have you ever been involved in a mentor/mentee program?

Yes, I've been a a mentor

Yes,I've been a mentee

If yes, please describe the experience

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* 6. What are your areas of expertise that you would be excited to mentor in?

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* 7. What are some of your hobbies/interests outside of work?

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* 8. How do you handle someone at your company if they struggle with learning new materials/job functions?

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* 9. Reflect on a previous mentor: describe the mentor and how they impacted you.

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* 10. Are there any expectations you have as a mentor that you are looking to get out of the program?

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* 11. Describe your ideal mentee.

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* 12. Is there anyone you would feel uncomfortable mentoring? (ex: someone in a different functional area; someone from a competitor, etc.)

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* 13. How much time do you believe you can dedicate to mentoring a young professional each quarter (in hours)?

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* 14. Would you be willing to travel for this program? If so, how often?

	Never	Once a year	Twice a year	Three times a year	Quarterly	More than Quarterly
Within a one-hour drive	Within a one-hour drive Never	Within a one-hour drive Once a year	Within a one-hour drive Twice a year	Within a one-hour drive Three times a year	Within a one-hour drive Quarterly	Within a one-hour drive More than Quarterly
Within a two-hour drive	Within a two-hour drive Never	Within a two-hour drive Once a year	Within a two-hour drive Twice a year	Within a two-hour drive Three times a year	Within a two-hour drive Quarterly	Within a two-hour drive More than Quarterly
Longer than a 2-hour drive	Longer than a 2-hour drive Never	Longer than a 2-hour drive Once a year	Longer than a 2-hour drive Twice a year	Longer than a 2-hour drive Three times a year	Longer than a 2-hour drive Quarterly	Longer than a 2-hour drive More than Quarterly
Flying	Flying Never	Flying Once a year	Flying Twice a year	Flying Three times a year	Flying Quarterly	Flying More than Quarterly

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* 15. Would you be interested in mentoring more than one mentee at a time?

Yes

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* 16. How would you prefer to communicate/meet with your mentee?

Phone

In-person

Social Media (LinkedIn)

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* 17. The program requires a minimum of one meeting per quarter, however, more often is encouraged based on the relationship. Ideally, how often would you want to meet with your mentee (via phone, email or in-person)?

Once per quarter

Bi-Monthly

Once a month

Bi-weekly

Weekly

More than weekly

2021 ARPM Mentor Application

Question Title

* 1. Contact Information

Question Title

* 2. What is your current job title?

Question Title

* 3. Briefly describe your path to getting to your current job position?

Question Title

* 4. What is your functional area in the Rubber Industry?

Question Title

* 5. Have you ever been involved in a mentor/mentee program?

Question Title

* 6. What are your areas of expertise that you would be excited to mentor in?

Question Title

* 7. What are some of your hobbies/interests outside of work?

Question Title

* 8. How do you handle someone at your company if they struggle with learning new materials/job functions?

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* 9. Reflect on a previous mentor: describe the mentor and how they impacted you.

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* 10. Are there any expectations you have as a mentor that you are looking to get out of the program?

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* 11. Describe your ideal mentee.

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* 12. Is there anyone you would feel uncomfortable mentoring? (ex: someone in a different functional area; someone from a competitor, etc.)

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* 13. How much time do you believe you can dedicate to mentoring a young professional each quarter (in hours)?

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* 14. Would you be willing to travel for this program? If so, how often?

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* 15. Would you be interested in mentoring more than one mentee at a time?

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* 16. How would you prefer to communicate/meet with your mentee?

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* 17. The program requires a minimum of one meeting per quarter, however, more often is encouraged based on the relationship. Ideally, how often would you want to meet with your mentee (via phone, email or in-person)?

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* 18. Would there be any reasons you would stop the program at any point prior to the end of the mentor/mentee program?

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* 19. Do you have any other comments, questions, or concerns?