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Mentoring Program | Mentor Application
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1.
Before applying, please be sure you receive your manager's approval to participate in this mentoring program.
(Required.)
Yes, I have received my manager's approval.
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2.
Contact information
(Required.)
Name
Agency
Division/Work Unit
Job Classification
Working Title
City of Work Location
Work Phone
Cell Phone
Email Address
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3.
How long have you worked for state government?
(Required.)
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4.
Have you worked for any other state agencies?
(Required.)
Yes
No
Please list what other state agencies you have worked for.
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5.
How long have you been in a management position?
(Required.)
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6.
How many employees do you manage in your current position?
(Required.)
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7.
Provide a brief description of the type of work you do
(Required.)
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8.
Have you previously served as a mentor for this specific program?
(Required.)
Yes
No
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9.
Have you ever served as a mentor through a formal mentoring program?
(Required.)
No
Yes
If yes, how many?
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10.
Have you ever served as mentor on an informal basis (not through a program)?
(Required.)
No
Yes
If yes, how many?
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11.
State at least three qualities or characteristics you would like to see in a mentee in order for the mentoring to be a productive partnership.
(Required.)
1.
2.
3.
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12.
Select what you consider to be your proficiency level for each of the statewide management competencies.
Click here for management competency definitions.
).
(Required.)
Entry
Immediate
Proficient
Advanced
Expert
Communication
Entry
Immediate
Proficient
Advanced
Expert
Innovation
Entry
Immediate
Proficient
Advanced
Expert
Intentional Engagement
Entry
Immediate
Proficient
Advanced
Expert
Mentoring and Developing People
Entry
Immediate
Proficient
Advanced
Expert
Stewardship
Entry
Immediate
Proficient
Advanced
Expert
Business Acumen
Entry
Immediate
Proficient
Advanced
Expert
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13.
What areas of knowledge and skills are you greatest strengths and you would like to pass on to a mentee?
(Required.)
Business Acumen (Budget, Procurement, etc.)
Seeking new ideas and innovative opportunities
Developing new insights into problems/issues and applying creative solutions
Building the capacity for change and prudent risk taking
Building relationships
Building Trust
Coaching
Dealing with difficult people
Flexing your work style
Giving feedback
Making oral presentations
Motivating people
Influencing skills
Articulating clear thoughts and ideas in multiple settings and audiences
Resolving conflicts
Taking risks
Team building
Time Management
Understanding organizational politics
Ability to foster collaboration and teamwork
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14.
Are you willing to be matched with someone in a different geographic location than you?
(Please be advised, this means that travel or video technology will be necessary to meet.)
(Required.)
Yes
No