Mentee Application Name(required) Company Work Address Email(required) Cell Phone Are you currently a WICT Greater Texas Member? Yes No No, but would like more information on the chapter, please. How did you hear about the WICT mentoring program? Select one option A colleague/friend Email Social Media Website Other Why are you looking for a mentor? Areas you would like to work on with your mentor? Time Management Organization Communication (verbal & written) Job Competencies (technical, soft skills, etc) Cooperation Conflict resolution Goal Setting Learning new Skills Accepting feedback & constructive criticism Focus and engagement Leadership Skills Other Were you recommended/suggested to join the WICT Mentoring Program? If so, by whom? Select one option No Colleague Leader Mentor Other Send Δ