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Peer Mentoring Program Mentee Application Form Thank you for your interest in becoming a Mentee as part of the GMB

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Peer Mentoring Program Mentee Application Form Thank you for your interest in becoming a Mentee as part of the GMB Powered By Docstoc
					                                      Peer Mentoring Program

                                      Mentee Application Form



Thank you for your interest in becoming a Mentee as part of the GMBA Peer Mentoring Program. This
application will assist us in matching you with a suitable Mentor. Please fill out the form completely and
return it to lklentak@jhu.edu by 12noon, Friday, June 10th. Questions can be directed to Lauren Klentak
(lklentak@jhu.edu) or Bobbie Tchopev (bobbie@jhu.edu).



Last Name
First Name
Email
Phone Number
Primary Language
Other Languages
Spoken Fluently
Hometown (City,
Country)
MBA Concentration (if
known)
Years of Professional
Experience
Previous Industry /
Function
Desired Industry (ies) /
Function(s)
Extracurricular
Activities of Interest
Why are you interested
in the Mentoring
Program?




What aspects of MBA
life are you most
interested in receiving
mentoring about?



What do you think
makes a good
mentoring relationship?




Preferred matching
criteria* (e.g., industry
focus, function,
language, hometown)
*Matches not guaranteed.



Mentor/Mentee matches will be communicated in mid-late June. By submitting your application, you are
committing to the following terms as a Mentee:

    1.   Serve as a positive role model for Carey Business School
    2.   Attend all Mentee meetings and checkpoints
    3.   Make yourself available for meetings with your Mentor
    4.   Respect Mentor’s time and availability
    5.   Attend all large group events where possible



I agree to the above terms and if selected will honor my commitment as a Mentee for the entire 2011-
2012 academic year.

______________________________________________________

Signature                                                Date