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Mentee Application Form
Mentee Application Form
Phone: E-mail:
Directions: Please answer the questions below and attach your current resume or bio. Return both items via email to
Lynn Zalokar at [email protected]. Please verify receipt of your application with Lynn by calling her at: (212) 221-7969.
• I understand that this program requires me to commit to spending one (1) hour per month (from
January 2010 to December 2010) with my mentor and I agree to this. Yes [ ] No [ ]
• I understand that I may not be able to be paired exactly to match my request below however I still
would like to participate as a mentee. Yes [ ] No [ ]
3. Describe yourself in three words, describe your ideal mentor in three words:
REQUEST FOR MENTORING PARTNER: Please number the top four areas 1-4 (with 1 being the highest) where you
seek insight/leadership from a mentor. Do not mark more than four (4) boxes. Do not mark 4 boxes in each column!
If you have any questions either about the program or the application, please contact one of the following committee
members:
Terry Yoffe: (212) 876-8166 or [email protected]
Beth Warren: (917) 547-1508, [email protected]
*Please note: Incomplete applications cannot be processed. All participants must be current AWNY members.
If you are interested in becoming an AWNY member please go to www.awny.org and sign up.