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MAPP Young Professionals Mentee Application
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1.
Contact Information
(Required.)
Name
Company
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address
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2.
What is your current job title?
(Required.)
*
3.
Briefly describe your path getting to your current job position.
(Required.)
*
4.
What is your functional area in the Plastics Industry?
(Required.)
Sales/Marketing/Business Development
Senior Leader/Owner
Operations/Engineering
Human Resources/Safety
Finance/Accounting/Purchasing
IT
Quality
Warehouse
Other (please specify)
5.
Would you prefer your mentor be from the same functional area as you?
Yes, same functional area
No, different functional area
No preference
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6.
Have you ever been involved in a mentor/mentee program?
(Required.)
Yes, I was a mentor
Yes, I was a mentee
No
If yes, briefly describe what you liked and didn't like about the experience.
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7.
What areas of focus would you like to learn more about?
(Required.)
*
8.
What are your future professional goals?
(Required.)
Short Term?
Long Term?
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9.
What are some of your hobbies/interests outside of work?
(Required.)
*
10.
Reflect on a previous mentor: describe the mentor and how they impacted you.
(Required.)
*
11.
How do you expect this program to impact you and your job functions?
(Required.)
*
12.
Describe your ideal mentor and your preferred teaching style.
(Required.)
*
13.
How much time do you plan to commit each quarter to this program (in hours)?
(Required.)
1
2
3
4
5
6
7
8
9
10
*
14.
Would you be willing to travel for this program? If so, how often?
(Required.)
Never
Once a year
Twice a year
Three times a year
Quarterly
More than Quarterly
Within a one-hour drive
Within a two-hour drive
Longer than a 2-hour drive
Flying
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15.
When pairing you with a mentor, do you have a gender preference of who you would like to be mentored by?
(Required.)
Male
Female
No Preference
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16.
How would you prefer to communicate/meet with your mentor?
(Required.)
Phone/Video Call
Email
In-person
Social Media (LinkedIn)
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17.
When would you prefer to communicate/meet with your mentor?
(Required.)
During work hours
Before/After work hours
18.
While meeting one time per quarter is required, more meetings can be scheduled based on the relationship and preference. How often would you want to meet with your mentor?
Once per quarter
Bi-monthly
Monthly
Bi-weekly
Weekly
More than once a week
*
19.
Would there be any reasons you would stop the program at any point prior to the end of the mentor/mentee program?
(Required.)
*
20.
Do you have any other comments, questions, or concerns?
(Required.)
Current Progress,
0 of 20 answered
