222 Mentoring Application

222 Mentoring Application

Your notes below will help us know who is interested in being a part of 222 Mentoring through MyNetwork. Your profile will be used as the primary basis for selection and matching.

First Name*

Last Name*

Company*

Email*

Cell Phone*

I'm interested in being a...*

Select or enter value

The reason I'd like to participate in 222 Mentoring is...*

I'm committed!*

If I’m accepted and a match is found for me, I’m willing to commit at least 20-30 mins a month to meet with my Mentor/Protégé through the 8-month MyNetwork season (October - May)

Note: Mentor is responsible for scheduling.

Please answer Yes or No

Select or enter value

I'm Ready!*

I’m prepared to have my life impacted by the powerful professional relationship I have the opportunity to invest in when I’m matched through the MyNetwork 222 program!

Please answer Yes or No

Confidentiality*

By typing my name below I acknowledge that these relationships, like everything that is discussed at the MyNetwork table, are confidential and details are not to be shared outside the mentoring relationship without consent of the other party.

Something else to consider...

Please feel free to share any additional information related to your experience with mentoring or your desire for a mentor here and we will take that into consideration in our matching process.

Thank you for your interest in continuing to grow to the next level of your profession, whether as a mentor or protégé!

Send me a copy of my responses

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