Ageless Innovators is Chicago's first intergenerational co-mentoring program, connecting successful innovators across generations and across businesses to provide reciprocal learning. The community that has developed is one that inherently values the diversity of perspective.

This cohort will run from January - July 2021. Mentors will be expected to commit to around 10 hours with their co-mentors in this 6-month period.

If accepted into the program, you will be paired with a successful innovator of a different generation based on what you hope to learn and teach.

The application deadline is Friday, December 11th.

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* 1. First Name

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* 2. Last Name:

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* 3. What generation are you a part of?

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* 4. Email

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* 5. Preferred Phone Number

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* 6. Job Title

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* 7. Company Name

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* 8. Industry

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* 9. Number of Employees

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* 10. Brief Career History (companies and titles)

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* 11. What has been your greatest accomplishment?

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* 12. Personal Website/LinkedIn/Twitter

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* 13. How many times have you applied before?

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* 14. How did you hear about Ageless Innovators?

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* 15. How do you like to communicate?

  Best Option Acceptable Option I do not like to communicate this way.
Phone
Email
Video Call
Quick One-on-One (Coffee)
Longer One-on-One (Lunch)
At Events

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* 16. What is a measurable goal or goals that you would like to reach during the six month program?

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* 17. What topic, skill or perspective are you most interested in SHARING with your co-mentor?

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* 18. What topic, skill or perspective are you most interested in LEARNING from your co-mentor?

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* 19. Have you participated in a mentoring program before? What do you see as your biggest barrier in creating a positive co-mentoring relationship? 

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* 20. If you have any additional comments that would add to your application or help clarify anything written above, you can add them here.

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