A.R.S. INSPIRE QUESTIONNAIRE



Thank you for your interest in the A.R.S. INSPIRE Women's Mentoring Program!In order to pair mentees with the right mentors, A.R.S. INSPIRE would like to understand your experiences, knowledge, skills, and preferences. The purpose of this questionnaire is to obtain details about the experiences and expertise of our potential mentees and understand their relationship preferences. Your responses will be used to match you to an appropriate mentor with relevant interests and experiences, if possible. Please email your completed application form to: inspirefortomorrow@Full Name:Date:Current Title:(E.g., Engineer, Homemaker, Student)Organization Name:(E.g., MMM Group, Home, University of Toronto)Phone:( )Ext.E-mail Address:How do you prefer to be contacted by the A.R.S. Inspire Committee? Background InformationPlease indicate the field(s) of study in which you currently hold a diploma, degree or certification. Also indicate the year(s) in which degree(s) were completed. If you are currently a student, indicate your area of study and expected completion date.How many years of work experience do you have overall?Please select one of the following options. I would like to be an A.R.S Inspire:MentorMenteeBothMentorship Program PreferencesIf you indicated that you would like to be a Mentee, please answer all questions that apply. If you indicated that you would like to be a Mentor, please answer all questions that apply. If you indicated both, please answer all questions in the section below.Please mark all that apply. As a Mentee, I would like to be paired with someone that has experience in the following fields/industries:EducationGovernment / Public SectorAccounting / Finance Arts / CreativeHospitality / CulinaryOther Business: ______________Medicine / Health CareScience / ResearchTechnical / ITNon-Profit / Social WorkLawEngineer / ArchitectOther: ____________________Please mark all that apply. As a Mentor, I would like to share my experiences in the following fields/industries:EducationGovernment / Public SectorAccounting / Finance Arts / CreativeHospitality / CulinaryOther Business: ______________Medicine / Health CareScience / ResearchTechnical / ITNon-Profit / Social WorkLawEngineer / ArchitectOther: ____________________As a Mentee, I would like someone with experience in the following functions: (E.g., Engineer, Event Manager, Pastry Chef)As a Mentor, I would be able to share my experience in the following functions: (E.g., Engineer, Event Manager, Pastry Chef)As a Mentee, I would like to be matched with someone with…0-3 years4-10 yearsMore than 10 yearsNo preferenceof experience.As a Mentor, I have…0-3 years4-10 yearsMore than 10 yearsNo preferenceof experience.As a Mentee, I would prefer to communicate with my Mentor by:Phone / SkypeEmailIn-personNo preferenceAs a Mentor, I would prefer to communicate with my Mentee by:Phone / SkypeEmailIn-personNo preferenceCareer GoalsBriefly outline your career goals and target development areas, in three sentences or less. This includes the main career goal you plan to accomplish within the next five years, any long term or aspirational goals, and other areas of your career you wish to develop. Briefly outline, in three sentences or less, what you hope to take away from this mentorship experience.Thank you!We appreciate your interest in ARS INSPIRE Women’s Mentorship Program and for taking the time to complete this questionnaire. We will contact you as soon as we have found a suitable Mentor/Mentee match. ................
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