Receive Mentoring

Applicant Contact Information

Applicant’s Name:

Title / Occupation:

Organisation:

Address:

City:

State:

Country:

Telephone:

Cellular/Mobile Phone:

Email:

Preferred method of contact:

 Telephone Email

Background

Have you ever received mentoring before?

 Yes No

Your Industry:

Qualification / Degrees:

Number of Years of Management Experience:

What do you think your current strengths are?

Describe the type of person you would like to be paired with e.g. area of work, years of experience, type of organisation etc:

Briefly provide a summary of your career so far:

Professional Associations and Affiliations you have current memberships with:

Describe any additional experience that could be of interest to your Mentor e.g. hobbies, volunteer positions, club memberships etc.:

Mentoring Specifics

What types of issues would you like to cover with your mentor?

What other areas of business would you like to focus your mentoring?:

How do you learn best?:

What specifically are you hoping to gain from the International Trade Council Mentoring Programme (knowledge, skills, behaviours, benefits, experience)? The more you can articulate your needs and objectives, the better we are able to match you with a Mentor:

Agreement

The success of the Mentor Programme depends upon the goodwill of volunteer mentors, so it is very important that you are fully committed and make positive use of this opportunity. Therefore, you need to agree to the following statement:

I understand that my registration on the International Trade Council Mentor Programme commits me to:

  • Checking my email regularly and replying promptly to my mentor’s emails even when I am busy.
  • Letting my mentor and the International Trade Council Mentor Programme team know if I am unable to continue or wish to end the relationship.
  • Notifying my mentor and the International Trade Council Mentor Programme team if my contact details change.
  • Putting thought, time and effort into the mentoring relationship.

Insert Full Name:

Insert Date