2021 YPN Executive Mentorship Application - Mentee

Thank you for applying to the 2021 YPN Executive Mentorship Program. Please use this form to apply as a mentee. 

Application must be received by 5 p.m. on Friday, October 9. The Capital Region Chamber recognizes the value to learning and growth that comes with having a diverse and inclusive program. We strive to increase the diversity of participants including: age, race, color, national and ethnic origin, religion, gender, gender identity and/or expression, sexual orientation, military or veteran status, marital status, disability, socio-economic status and work experience. Our goal is to create a program that is representative of the diversity in our region.

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Please include street address, city, state and zip

24-29
30-39
40-49
50+

Colleague
Friend
Email from Tech Valley Young Professionals Network
Employer
Chamber e-newsletter
Other

Phone
Email
Face-to-face

Your responses to the questions below will remain confidential. 
This information will NOT be shared with the person that you're matched with. 

Skill development/enhancement
Professional/ networking/sharing knowledge and resources
Promotion/job change
Career transition
Other

Sales
Marketing/Communications
Management
Graphic Design/Multimedia Art
Human Resources
Development/Fundraising
Architecture and Engineering
Finance/Banking
Computers and Technology
Health Care/Medical
Association
Other