Mentoring Program Sign-Up Form

General information

Participant's name*

Current company*

Address*

Phone*

Email*

LinkedIn URL*

Experience and interests

Job title*

Years of experience in project management*

PMI Member ID*

Preferred location (for face-to-face meetings)*

In which industry are you currently working*

Other industries in which you have experience*

Have you ever participated in a mentor program? yes or no *

Availability to meet up (day time, evening, weekend)*

Mentorship program in which you want to participate

3-month mentor

PMP advice

General PM info

Preferred method of communication - phone, text, email (skype, zoom etc)*

Traits, strengths and characteristics for mentorship*

Which experience(s) are you bringing to the mentor relation*

Why do you wish to participate in the mentor program?*

What are the objectives that you would like to achieve by participating in the mentor program?*

Other information that may be pertinent to the processing of your application*

Mentoring program signup form