Mentoring Program

My details

First Name

Last Name

Pronouns

_{at least 8 characters
at least one upper case character
at least one lower case character
at least one number
at least one special character} Password

Password Confirm

Current Job Title

Company/School

If write-in:

Brief bio / About Me (minimum 750 characters)

Location

Country

State

City

Contact

Skype ID (optional)

Your Skype ID is only visible to your mentoring connections and the program administrators

Phone (optional)

Your phone number is only visible to your mentoring connections and the program administrators.

Zoom ID (optional)

Zoom is a web-conferencing software. It is free and easy to use.

Linkedin URL (optional)

Demographics

What is your nationality? (you can identify multiple nationalities)

* please note option at bottom of list if you would prefer not to state.

If write-in:

Education

Please describe both the kind of degree (Bachelors, Masters, etc) and the field of study (History, Business, etc).

Have you participated in a formal or informal mentoring relationship before? *

If you were a mentee, what type of mentee were you?

Student Employee Association Member Member of a special group

If you were a mentor, what type of mentee were they?

Student Employee Association Member Member of a special group

What are up to 3 things you geek out over (ex – baseball, analytics, antique cars, etc.)

What are you unsure or nervous about?

What are you excited about?

What are your main LGBTQ advocacy interests/experiences?

Mentor profile

My details

Location

Contact

Demographics

Education