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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.
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1.
Name
(Required.)
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2.
Email address
(Required.)
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3.
Mailing Address
(Required.)
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4.
City, State and Zip
(Required.)
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5.
Company
(Required.)
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6.
Phone number (cell)
(Required.)
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7.
Phone number (office)
(Required.)
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8.
Current job title:
(Required.)
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9.
Current job title:
(Required.)
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10.
Are you a Veteran?
(Required.)
Yes
No
11.
College degree earned
12.
Certification(s) license(s) held:
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13.
Type of mentoring you are seeking (select one )
(Required.)
traditional one-on-one mentoring
coaching
Other (please specify)
14.
You feel comfortable being mentoring by (choose one or both)
males
females
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.
16.
Years you have worked in the water industry
0-5
6-15
15-25
26 or more
17.
Describe what you do on a day-to-day basis at work.
18.
Have you ever been mentored before? If yes please explain.
19.
What do you hope to gain by being mentored, including your short and long-term career goals?
20.
Describe what you consider to be your strongest technical and professional competencies, for example, pump maintenance, networking skills, career planning, water quality, etc.:
21.
Describe the technical and professional areas that you would like to strengthen through working with a mentor.
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
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
24.
What are your expectations for this mentoring experience?
25.
What do you like to do when you are not at work?
26.
Is it okay for the ISAWWA Mentoring Program administration to communicate with you via email?
Yes
If no, please explain