Mentorship Program Mentor Application Form

Mentors Qualifications and Requirements

  • Mentors must work and live in Central Arkansas and have 7+ years of professional experience.

  • Mentors are executive level professionals. Titles such as director and above are considered.

  • Mentors must be willing be sharing their experiences, giving advice and provide teachable moments.

  • Mentors must be available to meet with their Protégé on an individual basis (at least once a month).

Name *
Name
Address *
Address
http://
List at least three topics/objectives you want to cover with your protégé. Protégés are responsible for monthly meeting topics/objectives.
Preferred Meeting Times *
Periodically, the Mentor Program will meet as a group. What time of day is most convenient for you? *You may select more than one option.
Protégé Industry Vertical Preference