Skip survey header
Low Vision Mode

Disability Mentoring Day Mentee Application 2020

Update 5/27/2020: Disability Mentoring Day (DMD) originally scheduled for June 4, 2020 has been postponed until November 5, 2020

Please note: We are hopeful that by this newly rescheduled date, companies will be allowed to have mentees participate on-site. We will notify registered mentees if anything changes based on the effects of COVID-19. Thank you for your patience.

For more information contact Kathy Muhr at kathy.muhr@umassmed.edu.



DMD is a one day event, located at the company where you are matched. DMD is NOT a job interview or an internship. DMD IS a chance to experience what it would be like to work in your field of interest/study, as well as a great opportunity to network, get a sense of the culture and environment, and build a relationship with a professional.


Date of DMD: November 5, 2020
Location will be dependent on which company you are matched with for the day.


Applications currently being accepted. There is a possibility that not everyone will be matched. However, if you are not selected you will be placed on a wait list.
  • * Indicates question is required.
1. To be considered for Work Without Limits Disability Mentoring Day, you must agree to the following participation requirements.

As a potential mentee; *This question is required.
2. Please indicate which age group you belong to:

You must be at least 18 years old and your own legal guardian to participate in this event.
 
3. Please indicate if you are a mentee or filling this out on behalf of a mentee *This question is required.
If you are completing this application for a potential mentee please provide your contact information: *This question is required.
What is your relationship to the potential mentee?
4. Mentee Information *This question is required.
This question requires a valid email address.
5. How would you prefer for us to contact you?
8. If you have a resume please upload it here. We will share your resume with your mentor.
9. What is your highest level of education? *This question is required.
What year are you considered? *This question is required.
10. Are you a Veteran of the armed services, or currently serving in the military? *This question is required.
11. How did you hear about Disability Mentoring Day? *This question is required.
Name of College *This question is required.
Name of Organization *This question is required.
12. Which companies would you like to be placed with for Disability Mentoring Day? Please remember that you will have to provide your own transportation to your mentor's location. Please select up to FIVE (5) companies that you are interested in and can arrange transportation to and from. *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at EY? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at AllWays Health? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at American Tower? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at Raytheon? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at Public Consulting Group? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at Eastern Insurance? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at UMass, Charlestown? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at Harvard University? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at National Grid? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at UMass Medical School, Shrewsbury? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at UMass Worcester? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at John Hancock? *This question is required.
Which of these opportunities would you be interested in to be matched with for Disability Mentoring Day at Federal Home Loan Bank of Boston? *This question is required.
18. Transportation- Mentees are responsible for their own transportation to and from the company the day of the event. What type of transportation will you use? *This question is required.
22. If you receive SSI or SSDI and would like to know how earnings will impact your benefits please indicate if you would like a Work Without Limits benefits specialist to contact you. *This question is required.
23. Are you interested in having a member of Work Without Limits contacting you to learn more about Disability Mentoring Day, and what to expect? 
24. Please indicate whether or not you consent to your photo being taken during Disability Mentoring Day. There is a chance the photo will be used online or on other marketing materials. *This question is required.
How do you prefer to be contacted? *This question is required.