Mentee Application Form Section 1: Personal Information 🙋 Full Name* Email Address* Cell Number* Gender* Select one... Male Female Prefer not to say Race*
Used for reporting purposes only.
Select one... Asian Black Coloured Indian White Other Let potential matches know a little about yourself*
This helps people get a sense of who you are. Please include your past experiences, hobbies, areas of interest or anything you think they should know.
Section 2: About your Work 💻 Section 3: Your Experience with Mentoring 🤝 Have you ever been a mentor? Select one... Yes No Maybe Have you ever had a mentor?* Select one... Yes No Maybe If you've been a mentor or have been mentored, tell explain a bit more about what that involved: Section 4: Your Expectations💡 What are you hoping to get from this mentoring relationship?* Section 5: The Mentoring Relationship 🧑🤝🧑 When you think about your development and growth, which of the following statement best represents your beliefs:* Select one... I am responsible for my own development and growth Things change too fast, it is best to go with the flow If you work for good managers, they will take care of your growth and development What do you believe is the most effective role for a mentor:* Select one... Teaches me what they know Tells me what I need to do Facilitates me clarifying my thoughts and actions When thinking about your expectations for the mentoring relationship should they:* Select one... Depend on what the mentor wants and needs Be clearly defined and communicated at the beginning of a mentoring relationship Come up as we continue chatting What do you feel the mentor should get out of the relationship?* Select one... A good feeling of helping someone like me Not much, they are already pretty successful and accomplished at what they do They should learn as much from me as I do from them Which statement best represents your belief about plans and ideas you and your mentor discuss:* Select one... I would think about these along time before taking action I need to be willing to implement, take action, and put things into effect I would be willing to take action only when it involved taking very little risk What should be your responsibility in maintaining the mentoring relationship?* Select one... The sponsors of the mentoring program should define and monitor how often and for how long we meet. It is my responsibility to keep in touch and request time for us to meet Since the mentor is giving me their time they should define when and how often we meet Which statement best describes why you want to enter into a mentoring relationship:* Select one... I would like to improve my tech skills/learn a new tech skill I would like guidance with my career development I would like help with my personal development (eg building good habits) Section 6: Your availability to commit to the programme ⏱️
As a mentee, you will need to be available for about
1 - 2 hours per week Are you available for weekly mentoring sessions for the first month?* Select one... Yes No Maybe Are you available to attend social events over the course of the programme outside of working hours?* Select one... Yes No Maybe