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Mentoring Program Interest Form

Please fill out as much as you can, the responses will help us continue to develop and refine the USGBC-LA's Mentoring Program.

First Name

Last Name

Phone

Are you applying to be a Mentor or Mentee?

Mentor
Mentee

Current Title / Role

Company

LinkedIn Profile

Short Bio

What is the most important topic of interest you would like to cover in this mentorship program?

Career Path - Growth and Trajectory
Changing Careers
General Industry Knowledge
Cross-training
Presentation Skills
Innovation
Technical Skills
Other

If other, please elaborate:

Preference for Style of Engagement:

Formal
Informal
No Preference

Open to Video Calls:

Yes
No
No Preference

Availability to Meet:

Weekday Mornings
Weekday Coffee or Lunch
Weekday After Work
Weekends
Other

If other, please list availability:

What are you hoping to gain from this program?

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Password

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Email

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525. S Hewitt Street

Los Angeles, CA 90013, USA

(213) 689-9707

info@usgbc-la.org

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