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.EmailThis field is for validation purposes and should be left unchanged.