ASCE OC Mentorship Program: Mentor 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.

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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 Public or Private Entity?
IV. Cell Phone or Work Number (For Committee Purposes Only - Not For Distribution)
V. Email Address (Personal or Work Email - Must be checked frequently)

Full Name

ASCE Membership Number

Current Employer

Public or Private?

Phone Number

Email Address

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

10-15

15-20

20+

Retired

Please provide a brief description of your career path (e.g. I started with a private civil firm and then transitioned into public - traffic division and I am currently in the planning department)

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* 3. I. Have you been in the Mentorship Program before?
II. If yes, please indicate which years.
III. Why would you like to become a Mentor?

I. Yes/No

II. If yes, please indicate which years.

III. Why would you like to become a Mentor?

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* 4. What soft skills and professional development experiences are you comfortable mentoring? (communications skills, contract/salary negotiations, networking, client relations, conflict resolution, work-life balance, etc.)

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* 5. What disciplines in your field of expertise do you feel comfortable mentoring? (civil, environmental, geotechnical, transportation, land development, airports, construction, planning, owning your own business, municipal etc.)

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

North OC (Yorba Linda, Fullerton, Orange, Anaheim, etc.)

West OC (Huntington Beach, Westminster, Garden Grove, etc)

Central OC (Tustin, Santa Ana, Newport Beach, Irvine, etc)

South OC (Mission Viejo, Laguna Niguel, Dana Point, etc)

Willing to drive anywhere!

Other (please specify)

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* 7. What time is best for you to meet your protégé?

Mornings (before work)

Lunch Time

After Work (5pm and later)

Weekends

Other (please specify)

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* 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.)

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

Speed Interview Mentoring Event - September 18 and/or September 19, 2018
Mentorship Kickoff Event - October 30, 2018
Mid-Year Check-In Event - April 10, 2019
Closing Mentorship 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?

I. Can you commit 1-2 hourse to attend the required events?

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

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

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* 3. I. Have you been in the Mentorship Program before?II. If yes, please indicate which years.III. Why would you like to become a Mentor?

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* 4. What soft skills and professional development experiences are you comfortable mentoring? (communications skills, contract/salary negotiations, networking, client relations, conflict resolution, work-life balance, etc.)

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* 5. What disciplines in your field of expertise do you feel comfortable mentoring? (civil, environmental, geotechnical, transportation, land development, airports, construction, planning, owning your own business, municipal etc.)

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

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* 7. What time is best for you to meet your protégé?

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* 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.)

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* 3. I. Have you been in the Mentorship Program before?
II. If yes, please indicate which years.
III. Why would you like to become a Mentor?