DMD Mentee Application 2018

Disability Mentoring Day (DMD) is a one day event, located at the company where you are matched. DMD is NOT a job interview or an internship. DMD IS a chance to experience what it would be like to work in your field of interest/study, as well as a great opportunity to network, get a sense of the culture and environment, and build a relationship with a professional already in that field.

Date of DMD: April 27, 2018
Location will be decided based on mentor match.

Applications currently being accepted and will close on March 23, 2018.

There is a possibility that not everyone will be matched. However, if you are not selected you will be placed on a wait list.
*Unless otherwise specified all questions are required.

2. Contact Information *This question is required.

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

Cell Phone Number *This question is required.

Alternative Phone Number

4. Which city/town do you live in?

5. If you have a resume please upload it here. This is not required but strongly recommended. It's a great opportunity for mentors to learn more about you prior to mentoring day, and fosters networking opportunities.

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8. If still attending high school, what is your current grade? *This question is required.

12. Are there any other interests that were missed in the list above?

13. What is your desired job/career goal? *This question is required.

14. What type of job/role would you want your mentor to have? *This question is required.

15. What do you personally hope to gain from participating in Disability Mentoring Day?

16. Please describe any reasonable accommodations you may require the day of the event. *This question is required.

18. Food may be served the day of the event, do you have any food allergy/restrictions you would like the company to know about. Please describe.

19. Feel free to use this space to write something about yourself that you would like your mentor to know about you prior to DMD. This should be a professional statement about your career goals and aspirations as opposed to hobbies, personality traits, etc..,

21. If you are completing this application for a potential mentee please provide your contact information:

Full Name

Phone Number

Email

Organization

What is your relationship to the potential mentee?

Please enter an 'other' value for this selection.

By submitting this application, I affirm that I am at least 18 years old and am my own legal guardian.