Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Gender *MaleFemaleField of Study / Major *Educational Institution *Current Level of EducationHigh SchoolUndergraduateGraduateOtherWhat are your primary goals or objectives for seeking a mentor?How much time do you expect to dedicate to mentorship per week1-2 hours3-5 hours5-10 hours10+ hoursHave you had any prior experience with mentorship programs? If yes, please provide details. How long are you looking to engage in a mentorship1 month3 months6 months1 yearOpen endedAre there any specific qualities or skills you would like to develop during this mentorship? Are there any specific areas you feel you need guidance or support that we can provide? *Leadership Skills/Personality DevelopmentStudy AbroadCommunity Service/Social Work4. Technology: AI, Data Science, healthcareAre there any specific areas you feel you need guidance or support that we can provide? *Leadership Skills/Personality DevelopmentStudy AbroadCommunity Service/Social WorkTechnology: AI, Data Science, healthcareMarketing and MediaArts & CreativityStartups/ EntrepreneursHow did you hear about this mentorship program? Is there anything else you would like to share or ask? Submit
