Mentor Application Name(Required) First Last Email(Required) Phone(Required)What state do you reside in? What time zones are you comfortable working in?(Required)EasternCentralMountainPacificHawaiianJCI 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, 1 being least comfortable, 5 being most comfortable)(Required) 1 2 3 4 5 How many hours per month are you willing to commit to mentorship?(Required)Please enter a number from 0 to 20.Are you willing to take on more than one mentee?(Required)YesNoNo, but open to take on more later (if needed)How do you prefer to communicate with mentees?(Required) Email Video Calls In-Person Phone Call Other Please specifiy Other communication method(Required)
