Name:
Email:
Phone Number:
Current occupation/role or School/Grade:
Industry/field of interest:
Why are you interested in a mentorship?
Briefly explain why you are interested in seeking mentorship and how it will help you achieve your career goals:
What are your goals for the mentorship?
Outline the specific areas you want to work on and what you hope to achieve during the mentorship:
What are your strengths and weaknesses?
Share your strengths and areas where you excel, as well as your weaknesses and areas where you feel you could improve:
What do you hope to learn from your mentor?
Detail the skills, knowledge, and experience you hope to gain from your mentor and how you plan to apply it to your career :
