MENTOR PROFILE

Mentoring Program

Projects & Programs

YEA Business incubator

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MENTOR PROFILE
First name*:
Middle name*:
Last name*:
Business name*:
Contact Information:
Address:
Home Phone:		Business Phone:
Email Address:
Location of business
other
Product or service you provide
Industry sector of your business
Other
How long have you been in business?
What is your current business stage?
Where did you hear about the mentoring program?
	Newspaper Add
	YEA publications
	Friend
	YEA event
	Other

Why do you want to participate in the YEA mentoring program?
What do you expect out of the mentoring relationship?
What do you think your protégé expects from you?
What must they demonstrate to you before you are comfortable sharing your networking circles and referring business to you?
Please describe your personal and other characteristics which contribute to your business success:

Please describe the role you see as a mentor playing in the business success of the protégé:
List any specific business topics which you feel are your personal strength as a business person

Would you prefer to have a
Please list any business associations you belong to currently:
Would you prefer to have a protégé within your business sector?	Yes No

Please attach a copy of your C.V. to this application. A member of the YEA mentoring program committee will get back to you within two weeks of submitting this application with the next step of the process. If you are selected to participate in the program you will be required to attend a training program about the mentoring process sponsored by YEA.
Attach C.V