Women In Business Fall 2021 Mentorship Bootcamp – Mentor Application (DUE 8/31/21)

The Women in Business Council is dedicated to offering education and networking opportunities for Women in Business. WIBC Mentorship Bootcamp WIBC Mentorship Bootcamp, Presented by Lickstein Plastic Surgery is an opportunity for women facing challenges affecting their career or business to grow personally and professionally. The three-month Bootcamp will offer one-on-one mentorship paired with a virtual classroom with a focus on Leadership. Upon the completion of the course, participants will have gained valuable knowledge and skills to advance their careers while building a network of personal and professional contacts.
WHY? To offer growth and support to a female businessperson. We plan to: *
Please confirm which opportunities you are looking to accomplish for your potential mentee with the Mentorship Bootcamp by checking each of the boxes that apply to you.
WHO can participate? Woman member (or future member) of the PBNCC must have at least 2 of the below. Which type of mentee would you like to guide?
Please confirm which option fits you best by checking any and all of the boxes that apply to you.
Nominee Applicant
Title is used for how we approach you (Miss, Mrs. Ms.). Job Title will be request below. Please submit applications by no later than Friday, September 3, 2021 at 12 PM. Any and all questions can be directed to Brittany Cartwright at brittany@pbnchamber.com.
Please use the best phone number to reach you at.
Please use the e-mail address you would like to be notified of anything related to the Mentorship Bootcamp program.
What is your exact job title?
Company Address Information
Please tell us your company name.
This is your company's website OR your personal website.
How would you identify your business? Health & Human Services? Beauty Salon? Accounting Firm? Non-profit? Tell us!
This can either be how many staff you employ or how many employees are in your business with you.
Confirm you agree to attend ALL of the scheduled sessions (sessions 1-3 will be held the 2nd Tuesday from 12-1:15 p.m.) *
By participating in this program, we expect you to show up at each of scheduled times. Please be respectful of the time each of the facilitators put into each session as well as your mentee.
Please use highest resolution image in only JPEG or PNG format.
Please submit your personal bio (200 words or less). This web form will only take about 1100 characters, including spaces. Please use Microsoft Word to measure, then copy/paste.
Please tell us why you feel this a program that is important to you (200 words or less). This web form will only take about 1100 characters, including spaces. Please use Microsoft Word to measure, then copy/paste.
Please submit your strongest asset and why (200 words or less). This web form will only take about 1100 characters, including spaces. Please use Microsoft Word to measure, then copy/paste.
Please submit what you feel you can contribute to your potential mentee (250 words or less). This web form will only take about 1100 characters, including spaces. Please use Microsoft Word to measure, then copy/paste.
Please submit three fun facts about yourself (200 words or less). We will use this in the icebreaker sessions for you to get to know each of your fellow mentees.
Please submit 250 words or less. This web form will only take about 1100 characters, including spaces. Please use Microsoft Word to measure, then copy/paste.
Please confirm you are OK with your contact information to be shared with other participants. *
Your contact information will be shared with other participants of the program, including mentees and mentors as well as our sponsors of the program.
How did you learn of this mentoring opportunity? *
Please tell us of all the ways you heard about this program!