Mentee Application Form Your Information * First Name Last Name Email * Cell Phone * (###) ### #### Employer/Organization * Department * Current Role * How many years of work * How long have you been at your current organization? * Do you have any advanced degrees or certifications? If so, please list. * Select up to 5 top areas would you like to learn more about: * Analytics Coding/programming Business Relationship Management Cloud Business Relationship Management Entrepreneurship Sales/Marketing Strategic Partnership Develpment UX/UI/Web Design Web Development Project Management Human Resources Artificial Intelligence Machine Learning Nonprofit Education and Training Education/Training Engineering IT Solutions Architect Select up to 5 skills you would like to be mentored in: * Cost Benefit Anaytis Customer Service Inclusion and Diversity Leadership Public Speaking/Presenting Collaborating Inspiring Others Project Management Adaptability Collaboration Persuasion Conflict Resolution Strategy/ Vision Innovation Personal Growth What are you seeking with the mentorship experience? (max 150 words) Text Area * Select Do you agree to the requirements and commitments of the Mentorship program? * Yes No Any other comments? There is a $30 Program Fee. Please pay the fee via venmo @rockitwomen. However no one will be turned away. If you cannot afford the fee at this time- -please let us know and we will do our best to get you sponsored! * Yes No Thank you for registering to be a mentee! Someone will be in touch with you soon regarding the program.