PMBA Mentee Intake Form

Please note that the information you provide in this form will be shared with the mentor you are matched with.

PMBA Mentee Intake Form

Name(Required)

First Last

Email(Required)

Current Location

Current Job Title(Required)

Employer

Area of Expertise/Industry Knowledge

Previous Education

Please list all post-secondary experience

Please provide the link to your profile

I would like to be a mentee because (choose all that apply):

I am trying to expand my network

I am considering transitioning into a role that is outside of my current industry

I am trying to transition to a more senior role within my current industry/organization

I want access to general career/leadership advice from a peer/alumni

I am looking for guidance on excelling in the PMBA program

Proficiency in languages other than English:

After reviewing the directory, please indicate the names of the mentors you are most interested in being connected with in ranked order of preference

Mentees are expected to meet with their mentor for at least one meeting per month for 1 hour. Will you be able to commit the required time to this program?

Yes

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