Mentee Application Name(Required) First Last Email(Required) Phone(Required)Chapter(Required)State(Required)Years of Membership(Required)Please enter a number from 0 to 22.Current Leadership RoleWhat are your primary goals for participation in the MILE mentorship program? (check all that apply)(Required) Leadership Development Public Speaking & Communication Career Advancement Community Engagement & Advocacy Conflict Resolution Networking & Professional Growth Personal Development Other Specify your Other primary goal for participation(Required)What specific skills or areas of improvement would you like your mentor to help you with?(Required)What are your long-term leadership or career aspirations?(Required)Do you have a preferred mentor? If yes, please list their name:How would you like to be matched with a mentor? (check all that apply)(Required) Based on leadership goals Based on professional background Based on shared interests or experiences Other Specify your Other way you would like to be matched(Required)What’s your preferred mentorship format? (Select all that apply)(Required) Virtual (Zoom, phone, email, etc.) In-Person (where applicable) Hybrid (mix of Virtual and In-Person) How many hours per month can you commit to mentorship activities?(Required)Please enter a number from 0 to 20.Would you be open to participating in group mentorship sessions or only 1-on-1 sessions?(Required)YesNoLearn MoreAre you willing to complete periodic surveys or feedback forms to help improve the program?(Required)YesNoThird ChoicePlease provide any other relevant details that would help us match you with the best mentor.
