Mentorship Interest Form

Name*

Phone*

Email*

What age bracket are you in?*

What sector do you work in?*

Have you been in a formal mentorship program before?*

Which areas would you like mentorship to focus on? (select all that apply)*

This mentorship program will go for 12 weeks, with weekly check-ins between mentors and mentees. Will you be able to commit to that?*

What TYP career stage best fits where you're at?*

Why are you applying for this mentorship program?

What are you expecting from your next mentorship relationship?

Anything else we should know?