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2025 Mentor Application
First & Last Name
Email Address
Phone #
Address
City
Zip
County
Preferred method of communication
Preferred method of communication:
Phone call
Text
Email
Social media
Social Media
How did you learn about the program?
Are you currently serving on a Board or Commission?
Have you ever served as a Mentor before?
Are you a member of any marginalized communities? *optional, however, this helps us match our Fellows for success.
LGBTQIA+
Female
Person with disability
Mixed race
Black
Indigenous
Latino
Caucasian
Asian/Pacific Islander
Other
Preferred Pronouns
Please share your preferred pronouns:
She/Her
He/Him
They/Them
Other/Prefer not to say
What is your age?
Please Select
18-29
30-39
40-49
50-59
60-69
70+
What is your level of education?
Please Select
High School or Equivalent
Associate
Bachelor's
Master's
Doctorate
What is your current job title?
Effective mentoring for the Boards & Commissions Fellowship Program requires you to build a relationship with your Fellow, as well as meet with them at least one hour per month to provide guidance and advice throughout their time in the program. This can be done virtually, via phone, or in person.
I accept
Is there anything that might hinder your availability to meet with your Fellow?
What would make this mentoring opportunity a successful experience for you?
Submit Application