I need a mentor

1.

First name

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2.

Last name

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3.

Email Address

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4.

Phone number

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5.

Company / Organization

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Background

7.

Industry / Field

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8.

Brief description of what you’re working on

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9.

Current challenges you’re facing

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Mentorship Needs

10.

What are you looking for help with? (check all that apply)

A

Business strategy

B

Fundraising

C

Marketing / Growth

D

Sales

E

Product development

F

Leadership

G

Career guidance

H

Other

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11.

Preferred mentor background or experience

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12.

Preferred meeting format

A

Virtual

B

In-person

C

Either

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13.

How often would you like to meet?

A

Monthly

B

Bi-weekly

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Goals & Expectations

14.

What does success look like for you in this mentorship?

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15.

What specific outcome are you hoping to achieve in the next 3–6 months?

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16.

Commitment

I understand mentorship requires preparation, follow-through, and respect for the mentor’s time.