Mentee Application

Please complete the form below to be considered as a potential mentee for the Convergence mentorship program. Convergence will review your application and coordinate an interview to determine your eligibility. If you are a student please apply for the Global Mentor Initiative program.

Mentee Application 082621

Headline *

e.g. Sales Manager at Acme

About Me *

Please write a short bio about yourself.

Location *

Where are you based?

First Name *

Last Name *

Mobile *

Email *

Areas of Mentorship Advancement *

Business Function *

Information Technology Role *

How many years of experience do you have in your business function? *

What are your top 3 goals for mentorship engagement? *

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.