Mentorship Program Application

First Name *

Last Name *

Address / City / State

Phone *

Email *

Organization

Title

Degrees / Certifications / Licenses

Please list any degrees / certifications / licenses that you hold.

How many years have you worked in the construction industry?

Describe your experience in the construction industry:

Why are you interested in participating in the Mentorship Program?

Please list any goals, objectives, interests, etc.

Describe the skills and/or knowledge that you possess that may benefit your mentor or mentee:

Where are your career goals for the next 5 years?

Are you looking to stay in your current field and career path?

What types of construction-related professionals do you interact with in your current position?

(Including other construction individuals or vendors, consultants, etc.)

Do you see yourself as having a job or having a career? Please explain.

What opportunities / challenges do you experience in your current position?

What interests do you have outside of your work activities?

Have you ever participated in a mentorship program?

Does your company have a mentorship program?

Yes

No

Are you a member of PWC?

Please note, at this time membership in PWC is not required to participate in the Mentorship Program.

Yes

No