FPSA - Mentor Circle Application

First Name *

Last Name *

Affiliation (company, school) *

Are you a full-time student or full-time working professional? *

Undergrad Student

Graduate Student

Working Professional

OtherOther

What is your gender?

Female

Male

I Prefer Not to Say

Email *

Mobile *

Are you an FPSA member? *

Yes

No

Unsure

Association membership is required. Learn about joining at www.fpsa.org/membership (companies) & www.fpsa.org/membership-students (students). Please note all staff of member companies are considered members of the association.

How much time are you willing to commit to the mentor circle? *

Thirty Minutes, Once a Month

Hour, Once a Month

Hour, Bi-Monthly

OtherOther

What time of day is best for you to do your mentor circle meetings? (Select all that Apply) *

Mornings

Afternoons

Evenings

What days work best for you in the circle? (Select all that Apply) *

What is your current time zone? *

Do you speak other languages? Are there any languages that you would be comfortable being mentored in?

In general, what do you hope to learn from your mentor?

What do you hope to gain by participating in the Mentor Circle?

What topics would you like to discuss with your mentor? (Check all that Apply)

Do you have a preference to work with:

Female

Male

Doesn't Matter

List any other topics you would like to discuss:

Can you make it to any of the following Meet n' Greet Sessions? (Please select at least one option)

First Meet n' Greet - October 6th, 2022 (3 PM ET)

Second Meet n' Greet - November 2nd, 2022 (10 AM ET)

Third Meet n' Greet - November 2nd, 2022 (6 PM ET)

None of the Above

Joining at least one of these events is highly encouraged. However, not joining one of these events does not disqualify you as a mentee.

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Mentor Circle Application – Mentee

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