Mentorship Program Registration

Connect, grow, and achieve your professional goals through our structured mentorship program. Whether you're seeking guidance or offering expertise, this is your starting point.

Mentee Application

Mentor Application

Partnership Agreement

Mentee Application & Profile

Please complete this form to apply for the mentorship program as a mentee.

Personal Information

Full Name

Job Title / Role

Department / Team

Company / Organization

Email Address

Phone Number

Mentorship Goals & Motivation

What are your primary objectives for this mentorship? (Select up to 3)

Career path guidance and planning

Skill development

Navigating company culture

Building confidence

Work-life balance

Preparing for promotion

Expanding professional network

Please describe your top 1-2 goals in more detail

What does success look like to you at the end of this mentorship?

What motivated you to seek a mentor at this time?

Current Challenges & Desired Mentor Qualities

What are the biggest challenges you're currently facing?

What specific qualities are you looking for in a mentor?

E.g., "Someone who has managed a team," "Experience in marketing," etc.

Logistics & Commitment

Preferred Meeting Frequency

Preferred Meeting Duration

Preferred Communication Method

Time Commitment

Mentor Application & Profile

Please complete this form to apply as a mentor in our program.

Personal Information

Full Name

Job Title / Role

Department / Team

Company / Organization

Years of Experience

Email Address

Expertise & Strengths

Please describe your areas of expertise

E.g., Technical Skills, Leadership, Project Management, Career Transitions, etc.

What are your key professional strengths that you can offer as a mentor?

Please briefly describe your career journey

Mentoring Approach & Motivation

What is your motivation for becoming a mentor?

Describe your ideal mentoring style

E.g., "Direct and challenging," "A supportive listener," "Structured with action plans," etc.

What type of mentee do you believe you can help most effectively?

Logistics & Commitment

Preferred Meeting Frequency

Preferred Meeting Duration

Preferred Communication Method

Time Commitment

How many mentees are you willing to take on at this time?

Mentorship Partnership Agreement

Complete this agreement during your first meeting to establish clear expectations.

Our Commitment to the Partnership

Mentor Name

Mentee Name

Start Date

Expected Duration

Shared Goals & Expectations

Mentee's Primary Goals (Summarized)

Confidentiality Agreement

We agree that our conversations will be confidential, except in cases requiring disclosure by law or company policy.

Logistics & Structure

Meeting Frequency

Meeting Duration

Preferred Method

Communication Between Sessions

Roles & Responsibilities

The Mentee agrees to:

Drive the agenda for each meeting

Come prepared with topics and questions

Be open to feedback and take action on agreed-upon steps

Be punctual and provide advance notice if unable to attend

The Mentor agrees to:

Provide guidance, share experiences, and offer constructive feedback

Act as a sounding board and ask challenging questions

Listen actively and maintain confidentiality

Be punctual and provide advance notice if unable to attend

Review & Feedback

We will schedule a brief check-in at the to discuss progress and the health of our partnership.

Mentor Signature & Date

Mentee Signature & Date