Mentee Application

Please complete the form below to be considered as a potential mentee for the Converge mentorship program. Converge will review your application and coordinate an interview to determine your eligibility.

Must be a resident of North America.

Mentee Application 082621

Headline

e.g. Sales Manager at Acme

About Me

Please write a short bio about yourself.

First Name *

Last Name *

Mobile

Email *

Location

Where are you based?

Areas of Mentorship Advancement

Business Function

Current Information Technology Role

How many years of experience do you have in technology?

Are you currently interviewing for positions in tech?

Yes

What roles are you currently interviewing for?

How many interviews have you had recently?

Within the last 6 months.

What positions have you interviewed for?

What are you hoping a mentor can help you accomplish?

What are your top 3 goals for mentorship engagement?

Certifications or Degrees

LinkedIn Profile

Add a link to your LinkedIn profile to share with your mentees.

YouTube Video Message (Optional)

Please provide private YouTube URL

By checking the box below you agree to the following terms:

1) Communication - Mentors/Mentees exchange cell phone numbers and email addresses (work or personal). 
2) Discussions are confidential; mentorship environments are a safe space.
3) Touchpoint with Program Lead – schedule time with the Program Lead 30 days after program starts.
4) Program Update - Provide monthly progress updates.
5) Impact - Complete Final Report. 
6) Process Improvement - Provide constructive feedback to mentor and mentee program lead.
7) Participation in this program is not a promise or guarantee of an employment offer.

If you are human, leave this field blank.