PMBA Mentor Intake Form

Please note that the information you provide on this form will be used to create your Mentor Profile for the Directory webpage

PMBA Mentor 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

Profile(Required)

In 500 words or less, provide a description of yourself to appear on your directory profile that will give potential mentees an idea of whether you may be a good match

Profile Photo

Accepted file types: jpg, jpeg, png, Max. file size: 15 MB.

Please upload a photo that will appear on your directory profile

I want to be a mentor because:

I would like to mentor students who (choose all that apply):

Are trying to expand their network

Are trying to transition out of their current industry

Are trying to transition to a more senior level position

Are looking for general career/leadership advice

Are looking for guidance on excelling in the PMBA program

Proficiency in languages other than English:

Mentors are expected to meet with each of their mentees for at least one meeting per month for 1 hour. To assist with the allocation of mentees to mentors, please confirm how much time per month you can commit to the PMBA mentorship program:

1-2 hours per month

3-5 hours per month

6-8 hours per month

8+ hours per month

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