2012 Mentor Application
Questions marked with an asterisk (*) are mandatory.
Please note: You must be a member in good standing of NYWICI in order to participate as a Mentor (i.e. dues current)
1.
* First Name
2.
Middle Name
3.
* Last Name
4.
* Primary Email Address
5.
* Date of Birth
6.
* Employer
7.
* Title
8.
* # of Years in the Workforce
9.
* Home Address
10.
* City, State, Zip
11.
* My career experience is in the following areas:
Advertising
Books
Broadcasting
Corporate Communications
Digital/New Media
Film and Video
Fundraising/Development
Graphic Design
Journalism
Magazines
Marketing
Multimedia
Newspapers
Photography
Publishing
Public Relations
Radio
Television
Writing/Editing
Other, please specify
12.
* Have you previously participated in a formalized Mentoring program?
Yes
No
If yes, please briefly describe
Directions: Please answer the questions below and send your current resume or bio via email to Meredith Taylor (MLTaylor@kellencompany.com).
13.
* What do you feel you can bring to your prospective Mentee and to the NYWICI Foundation Mentoring Program?
14.
* Please describe yourself and your career experience.
15.
* Briefly describe your ideal Mentee.
16.
Anything else we should know about you?
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