Please complete this application, attach your resume and photo, and click “Submit Application”. Name* First Last Mobile PhonePersonal Email* Website (if applicable)Business NameBusiness PhoneBusiness Email Title/RoleAgeAre you the business owner?YesNoType of Organization* Corporate / Private Business Government / Public Entity Non-Profit Academic My Own Business Other Specify the type of business (i.e. Sole Proprietor, Corporation, LLC, etc.)*Other Type of Organization*Business Description*Professional Areas of Interest*Highest Level of EducationMajor or ConcentrationCurrently Enrolled?YesNoWhere are you currently enrolled?*Do you want a mentor specifically in your field?YesNoDate joined WomenUp Network Date Format: MM slash DD slash YYYY Tell Us About YourselfWhere did you grow up? What are your hobbies, areas of interest? How did you get to where you are today?*Describe your strongest competencies*Statement of InterestSummarize your interest in the WomenUp Network Mentoring Program.Why do you want to work with a mentor? Why should you be selected as a mentee for the program?*How would you benefit from receiving a mentor and participating in WomenUp Network activities throughout the year?*GoalsHow are you actively pursuing your professional interests? What are you doing well and what skills are you trying to develop?What professional goals are you actively pursuing?*What are your professional interests?*What are you doing well?*What skills are you trying to develop?*Please check any areas in which you would like to see self-improvement* Increase confidence in public speaking skills Enhance confidence with interviewing skills Learn how to network; define networking strategies Increase exposure to a job or field Get advice from professional in field of interest Acquire feedback regarding my strengths and/or weaknesses Enhance understanding of how to integrate interests and experience Gain insight into lives of business professionals / business owners Financial: Budgeting / revenue projections / profitability and sustainability How to enroll the right talent / get the right people in the right roles Expand my leadership mastery Other (please specify) Other area of self-improvement you would like to explore*As a mentee are you willing to (check all that apply):* Be an engaged and willing partner in the mentee / mentor relationship Look at things in new ways, which can sometimes be uncomfortable Take action on the goals you have set for yourself Bring something to each session that you would like support on What is your 5 and 10 year vision for your career or business?*Philanthropy / Volunteer EngagementWhat activities are you involved with outside of the work place? How do those activities enhance your career or business?*Mentor PairingWhat are the three most important things you are looking for in a mentorship experience?Mentee Committment*While WomenUp Network both recognizes and appreciates professional and personal calendars and commitments, we have made great efforts to create a mentor/mentee program that offers mentees a well-rounded experience. Against that backdrop, are you willing to commit to meeting with your mentor at least bi-monthly and be an active participant in WomenUp Network events such as the Lunch and Learns, Sister Mixers and other events?YesNoUpload a Headshot*File size upload limit is 2MB. Accepted filetypes: JPG, JPEG, PNG, GIFAccepted file types: jpg, jpeg, png, gif.Upload Resume*File size upload limit is 2MB. Only PDFs are accepted.Accepted file types: pdf. This iframe contains the logic required to handle Ajax powered Gravity Forms.