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Mentoring - Mentor Profile Form

As a mentor you:

  • Offer suggestions to improve technical skills and study techniques
  • Serve as an effective tutor and exam counselor
  • Help build self-confidence through constructive criticism and encouragement
  • Interact with mentee on a consistent basis
  • Maintain confidentiality around sensitive issues
  • Serve as a positive role model
  • Are committed to the mentee by keeping appointments with them
  • Offer feedback in a timely manner
  • Spend a total of 1 hour per month with the mentee via phone, email or face-to-face
  • Support the mentee through their professional and personal development









Name:*
E-Mail Address:*
Phone Number:*
Company:*
City*, State*, Zip*
Country:*
Cell Phone: (if different)
Discipline:

Area of Specialty:
Status:

My Interest is in:*

My best time of availability:*

Is there a mentee you prefer to work with or you are already working with?

If Yes please name the mentee (First Name and Last Name)
What strength (s) do you feel you can bring to this mentoring program?
 

*Asterisk indicates fields that must be completed.

If you need any additional information please contact our mentoring committee at mentoring@blackactuaries.org



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