Mentorship Form

Would you like to apply as a mentor or mentee?^*

required

Both

Mentee

Mentor

First Name

Last Name

Email Address

Phone Numer

Generation^*

required

Boomer (born between 1946- 1964)

Gen X (born between 1965 - 1979)

Gen Z (born between 1996 - 2016)

Mature (born between 1925 - 1945)

Millennial (born between 1980 - 1995)

Gender

Male

Female

Ethnicity

White American

Asian American

Some Other Race

Black or African American

Native American and Alaska Native

Native Hawaiian and Other Pacific Islander

Linkedin Profile Url

CPA License^*

required

Other

Active CPA

Aspiring CPA

Inactive CPA

Not pursuing the CPA

CGMA Credential^*

required

Active CGMA

Aspiring CGMA

Not pursuing the CGMA

Which field(s) of accounting would you like your assigned mentee/mentor to have experience in?^*

required

Tax

Audit

Other

Public

Private

Corporate

Government

Non-Profit

What are some specific goals that you are interested in pursuing as part of this relationship?

Please describe 2-4 skills you would like to learn or further develop through this mentoring relationship:

Please describe in a single sentence your reason for completing this application to become a part of this program:

Agreement^*

required

Upon selection for participation in the program, I understand that I will be required to complete a more detailed agreement and acknowledgement for program participation, including a commitment to confidentiality. *

I understand that by submitting this application I am expressing my commitment to fully participate in the program if selected, and that I will be matched with a mentee/mentor based on the information provided above. I agree to full participation and will comply with all program rules, restrictions and requirements,even if I later determine that the matched candidate does not possess all of the characteristics I would have desired. *

I understand that this is a professional program and I agree to conduct myself in a professional manner during all interactions with my mentee/mentor. I agree to make reasonable effort to initiate and maintain contact with my mentee/mentor throughout the course of the Program. I agree that, if I am unable to meet with my mentee/mentor during a scheduled time or need to cancel a meeting, I will notify him/her as soon as possible. I understand that I bear equal responsibility with my mentor for ensuring that we interact as frequently as is required by the program guidelines. *

Find Learning Opportunities

Professional Interest Areas

FEATURED EVENTS AND CONFERENCES

Find Learning Opportunities

Professional Interest Areas

Mentorship Application