Mentor Application Name(required) Job Title Company Email(required) Cell Phone Why are you interested in becoming a mentor for WICT? What is your experience as a mentor or mentee? If you have had previous experience as a mentor, please summarize your strengths as a mentor and what type of mentee would you be best suited for (individuals new to the industry, same functional area, same company, or specific goals, etc.)? Areas you would like to help your mentee on? 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 If selected, are you committed to be an active Mentor in this program by meeting with mentees a minimum of once a month. Select one option Yes No Send Δ