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EO Mentorship Program- Mentorship Application
In order to be eligible for the mentorship program we require that you complete this application. The more completely you fill this out, the better match you will receive. Take your time and be thorough!
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1.
Name
(Required.)
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2.
Date
(Required.)
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3.
Address
(Required.)
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4.
Cell
(Required.)
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5.
Email
(Required.)
6.
My particular areas of need are
Start-ups
Administration
Finance
Operations
Marketing/Sales International
Strategy
High Growth / Leveraging
Public Relation
IPO/Public
Family Relations
Other (please specify)
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7.
My hobbies and interests are:
(Required.)
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8.
How many employees do you have?
(Required.)
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9.
Family Status:
(Required.)
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10.
Please list three goals you would be interested in working on with your Mentor this coming year.
(Required.)
1
2
3
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11.
Bio/Resume (include business experience and education – 1 page max)
(Required.)
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12.
Description of your business and company background (1 page max)
(Required.)
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13.
A brief explanation of why you are interested in obtaining a Mentor, AND what your expectation of a mentorship relationship is, along with anything else you would like to share
(Required.)
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14.
I hereby agree that, if accepted, I will be “all-in” to the Mentorship process, I have the time and energy to devote to this, I will respect the time and schedules of my mentors, and that this is wholly voluntary with all parties involved. (type name for signature)
(Required.)