Blockchain Mentorship Program Application Form
Name
*
First Name
Last Name
Job Tittle:
*
Company
*
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Program Checklist
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I understand that applying to the Mentorship Program does not necessarily guarantee participation.
I understand that I may have to travel to my mentor's workplace to attend events.
I understand that my mentor has been choosen based on my needs and the relationship is learning-based.
I understand that I must take ownership of arranging meetings, times and locations and that I must be prepared with a meeting agenda.
Have you participated in a mentoring program before?
Yes, as a mentor.
Yes, as a mentee.
No.
If yes, please describe your experience.
Career / Work history
Relevant educational history
Activities and interests
What do you hope to gain by participating in the Mentorship Program?
In general, what do you hope to learn from your mentor?
Where do you see yourself or your company in three years?
Select the topics you wish to discuss with your mentor.
Entrepreneurism
Leadership
Strategy
Marketing
Localization
Investing
IT
Blockchain Adoption
Cryptocurrency
Career Planning
Human Resources
Work / Life Balance
Workplace Challenges
Other (please specify)
What are two goals you want to accomplish during the Blockchain Mentorship Program?
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