Expression of interest in becoming a mentoree
Name:
Business Phone Number:
Mobile:
Email:
Current Firm:
Address:
Graduated from? When?
Main Area in which I work
Short term ambitions?
My expectation from the mentor relationship
Background / interestes
References as to mentor
Occupation
Age Group: Gender
Specialist competency areas
Other preferred attributes
Particular constraints or requirements to be considered (eg, times and preferred location of meetings)