Bridge to Opportunity Mentor Volunteer Application

A alliance of professionals

Volunteer Information:

First Name *

Last Name *

City *

State or Region

Country

Zip / Postal Code

Location: (If outside US, Region and Country)

Email Address *

May we Call You to Get More Information? *

Yes

No

Phone Number (include country code if outside US):

Most recent or current job and employer? *

Previous Employer

Previous Job

Industry with Primary Experience

Why are you interested in mentoring? *

What gifts do you believe you can share that would be most beneficial to a mentee? *

Do you have any job, experience or industry preferences for any assigned mentee(s)? *

How much time can you invest in periodic "check in's" with assigned mentee(s)? *

Have you every Mentored an "early in career" candidate before? *

Yes, several times

Yes, but not early in career candidates

No, never

Other (please describe): Other (please describe):

Is there someone else we can call who knows you and your capabilities to mentor? (if so, please provide name and phone number) *

Any Other Comments or Information We Should Know? *