ISAWWA Mentoring Program - Application to be a MENTEE Mentee Application Hello! We are so excited that you are interested in becoming a ISAWWA Mentee! Please fill out this application so that we can learn more about you and match you with a mentor. OK Question Title * 1. Name OK Question Title * 2. Email address OK Question Title * 3. Mailing Address OK Question Title * 4. City, State and Zip OK Question Title * 5. Company OK Question Title * 6. Phone number (cell) OK Question Title * 7. Phone number (office) OK Question Title * 8. Current job title: OK Question Title * 9. Current job title: OK Question Title * 10. Are you a Veteran? Yes No OK Question Title * 11. College degree earned OK Question Title * 12. Certification(s) license(s) held: OK Question Title * 13. Type of mentoring you are seeking (select one ) traditional one-on-one mentoring coaching Other (please specify) OK Question Title * 14. You feel comfortable being mentoring by (choose one or both) males females OK Question Title * 15. Please describe your career path. Think of the major jobs you have held and list the titles in sequential order. This will give mentors an idea if you have followed a similar career path to the one they are on. For example: lab tech, child health consultant, chemist, lab supervisor. OK Question Title * 16. Years you have worked in the water industry 0-5 6-15 15-25 26 or more OK Question Title * 17. Describe what you do on a day-to-day basis at work. OK Question Title * 18. Have you ever been mentored before? If yes please explain. OK Question Title * 19. What do you hope to gain by being mentored, including your short and long-term career goals? OK Question Title * 20. Describe what you consider to be your strongest technical and professional competencies, for example, pump maintenance, networking skills, career planning, water quality, etc.: OK Question Title * 21. Describe the technical and professional areas that you would like to strengthen through working with a mentor. OK Question Title * 22. How much time would you like to devote to being mentored? (select one) 1 hour per week 3 hours per month 2 hours per month OK Question Title * 23. How far are you willing to travel to meet with your mentor? (select one) online or phone only 30 minutes 1 hour 2 hours OK Question Title * 24. What are your expectations for this mentoring experience? OK Question Title * 25. What do you like to do when you are not at work? OK Question Title * 26. Is it okay for the ISAWWA Mentoring Program administration to communicate with you via email? Yes If no, please explain OK DONE