Mentor Profile Form

Thanks for indicating your interest in mentorship. This is a brief form to understand opportunities for you and the chapter in mentorship. After submitting this form, we will assess the best way for you to engage with the chapter’s mentorship efforts.

Name*
First Last
Email*
Preferred Phone*
Please provide the URL for your LinkedIn profile.
Would you like to be a mentor or a mentee?*
- Mentor
- Mentee
- Both
What skills would you like to learn?
- None - only want to serve as a mentor
- Digital analytics
- Social media
- Media relations
- Website planning/management
- Event planning
- Strategic communications
- Brand management
- Crisis management
- Communications planning
- Managing millenials
- Leadership
- Managing up
- Growing your career/moving into a different industry (please list in comments which industry you would like to move into)
- Getting my APR
- Public affairs
Is there another skill not listed above that you would like to learn?
Which skills are you experienced to teach?
- None - I only want to serve as a mentee
- Digital analytics
- Social media
- Media relations
- Website planning/management
- Event planning
- Strategic communications
- Brand management
- Crisis management
- Communications planning
- Managing millenials
- Leadership
- Managing up
- Growing your career/moving into a different industry (please list below the industries you are familiar with)
- Getting APR
- Public affairs
Is there another skill not listed above that you would like to teach?
What is the ideal time range for a mentor/mentee relationship to formally last, understanding that you have the option to remain in touch after the formal mentor partnership?*
- Three Months
- Six Months
- One Year
What industry do you currently work in? (please also indicate if you are public sector, private sector, or non-profit)
Please indicate the geographic area where you live:
- Washington, DC
- Virginia
- Maryland
What you would like to get out of this mentoring experience:
Are you currently a member of PRSA-NCC:*
- Yes
- No
- Not sure

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