Mentor Application Form Your Information * First Name Last Name Email * Cell Phone * (###) ### #### Employer/Organization * Department * Current Role * How many years of work experience do you have, up to today? * How long have you been at your current organization? * In which areas have you had substantial experience in? Select all that apply:. * 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 Please select your top five strengths: * 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 Select Do you agree to the requirements and commitments of the Mentorship program? * Yes No Any other comments? * How many mentees are you willing and able to mentor? Please bear in mind that the commitment is to meet each mentor 4-5 times in the 10 month duration of the program. * Which city are you based out of? * Do you prefer to conduct mentoring meetings in person (in Louisville) or online only or both? * Louisville (in person) Virtual Only Either Mentors are role models who are constantly learning and growing in their own fields and areas. What are some things/skills/subjects/certifications that YOU are currently learning or pursuing? * Thank you for registering to be a RockIT Woman Mentor! Someone will be in touch with you soon regarding the program.