HEI Mentorship 2020 Question Title * 1. Email address Question Title * 2. First Name Question Title * 3. Second Name Question Title * 4. Last Name Question Title * 5. Gender Male Female Question Title * 6. Date Of Birth MM / DD / YYYY Date Question Title * 7. Mobile Number (ex: 01xxxxxxxxx) Question Title * 8. Governorate Alexandria Assiut Aswan Beheira Beni Sueif Cairo Dakahlia Damietta Fayoum Gharbia Giza Ismailia K. El Sheikh Luxor Matrouh Menofeya Minya N. Sinai New Valley Port Said Qaliyobia Qena Red Sea Sharkiya Sohag South Sinai Suez Question Title * 9. University(If your university is not on the list please choose other )If you chose other, please mention the name of your university Ain Shams University Alexandria University Assuit University AUC Helwan Banha University Beni souf University BUE CIC Cairo University FUE GUC Helwan University Kafr-Elsheikh University Mansoura University Menia University New Valley University MIU MUST MSA Other (please specify) Question Title * 10. What was your major or specialty? Question Title * 11. Employment Company or Organization Question Title * 12. Company/Organization Sector Question Title * 13. Job Title Question Title * 14. Job Function Accounting Administrative Arts and Design Business Development Community & Social Services Consulting Education Engineering Entrepreneurship Finance Healthcare Services Human Resources Information Technology Legal Marketing Media & Communications Military & Protective Services Operations Product Management Program & Product Management Purchasing Quality Assurance Real Estate Rersearch Sales Support Question Title * 15. Years of Work Experience 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Question Title * 16. Please provide us with the link to your LinkedIn Profile (if you have one) Question Title * 17. Why are you interested in being a mentor for the HEI Mentorship Program? Question Title * 18. How many mentees are you willing to mentor? 1 2 3 Question Title * 19. Do you prefer to coach someone in the first two years of their university study or the last two years? (The types of questions and mentee goals will be different.) In the first two years In the last two years No preference Question Title * 20. Please list your top 3 interpersonal skills and qualities that you would like to coach your mentee in 1- 2- 3- Question Title * 21. Do you participate in any volunteering or social work (volunteering activities, community development, etc)? Please explain Question Title * 22. How did you hear about HEI mentorship program AMIDEAST Staff Facebook LINKEDIN From a Friend From HEI Scholars From an event Question Title * 23. Is there anything else that you would like to share with us or to ask? Question Title * 24. Please attach your C.V PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach your C.V Thank you for volunteering to be a mentor Done
