Mentorship Application - Angela Agresto

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Mentorship Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

Please share a little about yourself, your company, your role(s)? I would love to know about both your personal and professional life and how they are balanced.*

What is happening in your life, professional role, or business right now that has you seeking out a mentor?*

What do you want to achieve by partnering with a mentor? (List top 3 things)*

Have you previously been mentored, or in a mentoring program?*

Yes

No

If yes, please share what you liked/dislike most about that learning experience.

What do you consider to be important qualities in a potential mentor?*

What are your personal interests and hobbies outside of work?*

What values do you hold close to your heart?*

What do you feel your mission/purpose is?*

What do you wish you could change?*

Are you ready to commit the time and intention to yourself?*

Where can I find you on social media?*

I will get back to you shortly after you complete your application.

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