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Dress for Success Southern Nevada

Dress For Success Mentor Application & Agreement


To assist in providing participants with the most rewarding mentoring experience, please answer all questions. This information will be used to best match your professional background to a program participant with similar career objectives.

What's your email address?

Your information


Required fields are marked with an asterisk (*).
Contact information:
Name: *
Address: *
Phone: *
Organization:
Title:
Please summarize your professional/career experience:
Indicate areas where you could provide expertise to a Mentee. (Check all that apply)













Please list any additional qualities, skills or other attributes you feel you have that would benefit a mentee
Please describe your experience in any formal or informal mentoring relationship
Describe your goals/expectations for the mentoring program
Please describe your ideal Mentee
Is there anything else you would like us to consider when matching you with a mentee?
Availability: Best days to contact






Availability: Best Time to contact


Acknowledgment: By submitting this enrollment form I acknowledge and except the following, and I understand that I must comply with the dress for success southern about a metric program guidelines as stated below:
Please read and check each numbered box to agree *









Full Name *
Date *