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Phone number
Age Group
Select
Matures (born before 1946)
Baby Boomers (1946-1964)
Gen X (1965-1976)
Millennials (1977-1993)
Gen Z (born after 1994)
Your Company / Organization
Job Title
Industry
Check all that apply
Current Job Status
Full Time
Part Time
Self-Employed
Retired
Address
Home or Work, where you prefer to be reached by your Mentee
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Puerto Rico
Virgin Islands
Highest Degree Attained
Select
Bachelor
Master
Doctor
Please specify nonprofit organization(s) boards that you've served during last 5 years
Indicate N/A if you have no board serve experience. This shall not disqualify you from the mentorship opportunity
Program Area of your organization(s)' philanthropy
Check all that apply
Have you ever previously mentored or worked with volunteer leaders in another advisor capacity?
If yes, please explain
What motivated you to become an BMI Mentor?
Choose up to two options
How do you see yourself as a mentor?
What areas of expertise can you offer as a mentor? Check all that apply
Link to your Bio
LinkedIn Profile, Organization's Website, etc.
Mentorship Goals: What do you hope to gain from your mentorship experience? BMI will share this with your assigned mentee.
How much time would you be willing to commit to your mentee?
Preferred way of communication
If you were asked to provide a one-sentence motto, what would it be?
Which of the following best describes you:
Check all that apply
Please indicate your hobbies and interests
Check all that apply
How did you hear about this mentorship opportunity?
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