Mentoring Program Sign-Up Sheet
  1. Application to participate in the Mentoring Program that PMI-OC sponsors. This program requires 6-month commitment that includes at least 1 1-hour mentoring meeting per month. 1 on 1 meetings between the mentors and mentees will be coordinated based on your schedules.
  2. * Required
  3. I'm signing up to be a:*


    Input Required - Please indicate if you want to be a Mentor or a Mentee
  4. I can commit to meeting, by phone or in-person, with my mentor/mentee at least once per month for 6 months:*

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  5. First Name:*
    Input Required - Please enter your first name
  6. Last Name:*
    Input Required - Please enter your first name
  7. Email:*
    Input Required - Please enter your email address
  8. Phone:*
    Please enter your phone number (123-456-7890)
  9. I am a PMI-OC member:*

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  10. PMI Membership ID:
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  11. City you live in:*
    Input Required - Please enter the city you live in
  12. Highest level of Education:*
    Input Required - Please enter the highest level of education you have achieved
  13. Are you currently employed?*

    Input Required - Please enter if you are currently employed
  14. Company you currently or last worked at:
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  15. Title of current or last position held:
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  16. Why do you want to be a Mentor or Mentee?*
    Input Required - Please enter why you want to be a Mentor or Mentee.
  17. As a Mentor, what are your strengths that you believe a Mentee can leverage in their career?
    Input Required - Mark N/A if you are signing up to be a Mentee
    Please leave blank if you are applying to become a mentee
  18. As a Mentee, what qualities are you looking for in a Mentor?
    Input Required - Mark N/A if you are signing up to be a Mentor
    Please leave blank if you are applying to become a mentee
  19. What are your goals out of this mentoring relationship? Please list 3 goals*
    Input Required - Please enter three goals
    Please be as realistic and honest as you can, given the information you currently have, and understand that these goals might change and develop over the course of the program
  20. Please provide a link to your LinkedIn.com profile*
    Input Required - Please enter your LinkedIn profile
    This will help us in the mentor and mentee matching process.
  21. Please answer the following survey questions on a scale from 1 to 5, with 1 meaning poor to 5 meaning excellent
  22. How would you rate your career: (1 to 5)*
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  23. How would you rate your overall confidence as a project manager? (1-5)*
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  24. How would your currently rate the value of your PMI-OC membership? (1-5)*
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