Skip survey header

WiAC Mentor Pairing Form

Mentor Pairing Form

1. Your Contact Info *This question is required.
2. I am a... *This question is required.
3. I am interested in being a... *This question is required.
4. I have worked in the automotive industry...
5. Which segment of the automotive industry do you work in presently?
6. As a mentor, I'm confident I can contribute to my mentee's growth in the following areas (check all that apply)
6. Copy of As a mentee, I would like to grow in the following disciplines (check all that apply)
6. My personality style is:
7. I tend to connect well with those who are:
9. I am committed to this mentor program and will try my best to grow with my mentor/ee. I understand that although mentorships are informal in nature, our program strongly encourages pairings to meet (phone/in-person) once a month at minimum. *This question is required.
Signature of