Mentor Application Name(Required) First Last Email(Required) JCI USA Affiliation(Required)AmbassadorAlumniYears of JCI USA Membership (while of age)(Required)Please enter a number from 1 to 22.Previous Leadership Roles in JCI(Required)What areas of mentorship are you most interested in? (check all that apply)(Required) Select All Leadership Development Public Speaking & Communication Career Coaching Community Engagement & Advocacy Conflict Resolution Professional Networking Organizational Managment Finances & Fundraising Other Please specify Other area of mentorship(Required)What skills or experiences do you bring to the mentorship program?(Required)How comfortable are you with leading mentorship sessions? (Scale 1-5)(Required) 1 2 3 4 5 Are you interested in receiving additional training to enhance your mentorship skills?(Required)YesNoHow many hours per month are you willing to commit to mentorship?(Required)Please enter a number from 0 to 20.Would you prefer 1-on-1 mentorship, group sessions, or both?(Required)1:1GroupBothHow do you prefer to communicate with mentees?(Required) Email Video Calls In-Person Phone Call Other Please specifiy Other communication method(Required)Would you be willing to participate in mentor spotlight interviews or testimonials for publication?(Required)YesNo
