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PromaxBDA 2018 Executive Mentorship Program launches June 2018 in New York. Please complete this application and submit no later than March 30, 2018. Spaces are limited so, be sure to complete your application before the deadline.
All selected participants must attend the mandatory June mentor-mentee training session in New York
Name and Contact Information

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* 1. Name and Contact Information

Do you wish to participate as a mentor or mentee?

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* 2. Do you wish to participate as a mentor or mentee?

Full Title

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* 4. Full Title

Please provide your professional bio

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* 5. Please provide your professional bio

Please indicate other industry experience

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* 6. Please indicate other industry experience

Areas of expertise

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* 7. Areas of expertise

Education background

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* 8. Education background

Please describe your hobbies, interests, etc.

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* 9. Please describe your hobbies, interests, etc.

Languages spoken

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* 10. Languages spoken

What is your motivation for applying to the PromaxBDA Executive Mentorship Program?

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* 11. What is your motivation for applying to the PromaxBDA Executive Mentorship Program?

What skills would you like to develop in the program?

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* 12. What skills would you like to develop in the program?

What do you perceive to be the roles and responsibilities of a mentor?

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* 13. What do you perceive to be the roles and responsibilities of a mentor?

What do you perceive to be the roles and responsibilities of a mentee?

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* 14. What do you perceive to be the roles and responsibilities of a mentee?

In your experience, what are the key characteristics of a successful leader?

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* 15. In your experience, what are the key characteristics of a successful leader?

Looking at your career thus far, what do you identify as the drivers of your success?

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* 16. Looking at your career thus far, what do you identify as the drivers of your success?

What is the biggest professional challenge you are facing now?

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* 17. What is the biggest professional challenge you are facing now?

What do you hope to gain from your mentorship relationship?
Please be specific and list 1 - 3 goals you would like to achieve during your mentor relationship.

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* 18. What do you hope to gain from your mentorship relationship?
Please be specific and list 1 - 3 goals you would like to achieve during your mentor relationship.

Are there any special requests that should be considered when making this match?

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* 19. Are there any special requests that should be considered when making this match?

What hours are most convenient for you to meet with your mentor?

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* 21. What hours are most convenient for you to meet with your mentor?

How did you hear about the PromaxBDA Executive Mentorship Program?

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* 23. How did you hear about the PromaxBDA Executive Mentorship Program?

What topics would you like to see covered during the training in June, with your mentor, and/or during learning opportunities during the year?

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* 25. What topics would you like to see covered during the training in June, with your mentor, and/or during learning opportunities during the year?

Please feel free to contact Rachel Wyatt, with any questions at rachel.wyatt@promaxbda.org
We look forward to another year of bringing mentorship to the PromaxBDA member community.

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