Mentee Questionnaire Name(required) Email(required) Company(required) Phone(required) Address(required) City(required) State(required) Zip Code(required) What is your current position title, department, and branch?(required) As a member of this program, I will make a concerted effort to be available for my partner at least monthly, reaching out via email, text, or telephone. This includes being available during normal working hours, or time-frames agreed upon together. Type "I agree" below.(required) Are you applying to be a Mentor or Mentee?(required) Professionally, what are both your short term and long term goals? My ideal mentor would show me how to employ relevant work techniques. Very Important Somewhat Important Not Important My ideal mentor would prefer to cooperate with others rather than compete with them. Very Important Somewhat Important Not Important My ideal mentor would be seldom sad/depressed, rarely feel fearful or anxious. Very Important Somewhat Important Not Important My ideal mentor would be open to discussing their personal life, or their own work problems. Very Important Somewhat Important Not Important My ideal mentor would give me specific assignments related to my job. Very Important Somewhat Important Not Important My ideal mentor would brainstorm solutions to a problem or obstacle at work. Very Important Somewhat Important Not Important My ideal mentor would work hard to accomplish her/his goals. Very Important Somewhat Important Not Important My ideal mentor would would have coffee or lunch with me on occasion. Very Important Somewhat Important Not Important My ideal mentor would provide information to help me understand a subject matter I struggle with. Very Important Somewhat Important Not Important My ideal mentor would help me investigate a problem I am having at work. Very Important Somewhat Important Not Important My ideal mentor would relate to me as if she/he is a responsible, admirable older sibling. Very Important Somewhat Important Not Important My ideal mentor would generally tries to be thoughtful and considerate. Very Important Somewhat Important Not Important My ideal mentor would help me realize my life vision. Very Important Somewhat Important Not Important My ideal mentor would inspire me by her or his example and words. Very Important Somewhat Important Not Important My ideal mentor would value me as a person and believes in my potential. Very Important Somewhat Important Not Important Why are you interested in being an Inspire Mentor? How many years of experience do you have in the cable and telecommunications industry? < 1 Year 1 – 4 Years 5+ Years Are you a people-leader, if yes, how many direct reports do you manage? Not a people leader. 1-5 Employees 11+ Employees Would you be able to travel (with your manager's approval) 1-2 times a year to visit with your mentor/mentee? Yes, and I will make a concerted effort to meet via phone otherwise. No, but I will make a concerted effort to meet via phone otherwise. Areas you need help with (as mentee) or Areas you can help with (as mentor): Time management Organization Interpersonal Communication Job Competencies (technical, soft skills, etc.) Cooperation Conflict Resolution Written communication Learning New Skills Goal Setting Accepting Feedback & Constructive Criticism Focus & Engagement Leadership Skills Other If you chose "Other" above, please explain below Provide any additional comments about your candidacy. Include any special restrictions or conditions we should take into consideration that were not already covered within the body of the survey. Submit Δ
The WICT Network: Greater Texas