2017 Mentorship Program Application
Deadline for Application: December 9, 2016 – Complete online
Must be between the ages of 25-35 to participate
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SECTION I – CONTACT INFORMATION
First Name:
Employer:
Email:
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Last Name:
Date of Birth:
Phone
Number:
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SECTION II – GOALS AND OUTCOMES
Short Term Career Goals (1-3 years):
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Long Term Career Goals (4+ years):
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Outcomes:
What do you hope to gain from participating in the Mentor Program? How will it help you
achieve your career goals?
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Strengths and Weaknesses:
The Mentorship Program aims to provide both a mentoring relationship focused on career goals
as well as to facilitate a greater discussion on leadership skills, style and the type of leader
participants aspire to be.
Describe your strengths and areas of weakness where you would like to improve in your career,
be it specific skills within your profession or leadership skills:
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SECTION III – MENTOR PAIRING PREFERENCES*
Do you have any preferences for a paired mentor:
e.g. specific industry, gender, etc.
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Is it more important that you be partnered with someone in your industry or someone who has
leadership strengths in areas you would like to focus?
☐Industry
☐Strengths
☐Both
*Preferences will be considered in pairings, but cannot be guaranteed.
SECTION IV – EMPLOYMENT HISTORY
Describe your current position and how it contributes to your organization's strategic goals:
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What do you consider your most significant accomplishments in your current role?
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Describe your company’s industry sector and area of specialization:
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Employment History
List in chronological order beginning with present position and then other principal positions
held since entering a professional career
COMPANY NAME
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DATES
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POSITION/ROLE
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SECTION V – VOLUNTEERISM
Volunteer Experience Within The Real Estate Council
List committee, committee chair, TREC staff liaison, dates and your role.
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External Industry and Community Leadership Involvement
ORGANIZATION NAME
DATES
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MM/YY – MM/YY
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MM/YY – MM/YY
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MM/YY – MM/YY
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MM/YY – MM/YY
POSITION/ROLE (if applicable)
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SECTION VI – EDUCATION
Education
Colleges and universities attended
INSTITUTION NAME
DISCIPLINE/FIELD OF STUDY
DEGREE
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Other Development
Relevant training or development activities.
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Complete online by December 9, 2016
DATES
ATTENDED
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