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EMPOWERNET MENTORSHIP: IGNITE YOUR PATH > HOME

EmpowerNet Mentorship Program

Step into a world of limitless potential with our EmpowerNet Mentorship Program – where discovery, provocation, and thriving communities collide. Empower yourself to ignite your path, forge lasting connections, and develop the skills needed to thrive. Join our vibrant network and unlock the power of community as you embark on a journey of growth, empowerment, and success!

Personal:

Full Name

Phone Number

Street Address

City

Region/State/Province

Postal / Zip code

Birthday

Gender

Highest Level of Education:

Education and Employment:

Current Occupation:

Industry/Field of Work:

Years of Work Experience:

Are you seeking a mentor for personal or professional development?

Mentorship Preferences:

What specific areas or skills are you looking to develop or improve through mentorship?

Do you have any preferences or criteria for your ideal mentor (e.g., industry experience, leadership style, specific expertise)?

Goals and Expectations:

Please describe your primary goal(s) or objective(s) for seeking mentorship:

What do you hope to achieve or accomplish through mentorship?

How do you envision your mentor supporting you in reaching your goals?

Availability and Commitment:

How much time are you willing to commit to mentorship meetings and activities each month?

How do you envision your mentor supporting you in reaching your goals?

Additional Information:

Are you able to meet with your mentor in person, virtually, or both?

Do you have any scheduling constraints or preferences for mentorship meetings?

Have you participated in mentorship programs or coaching experiences before? If yes, please provide details.

Is there any other information you would like to share about yourself or your expectations for mentorship?

Acknowledgement: By submitting this application, I acknowledge that the information provided is accurate and complete to the best of my knowledge. I understand that completing this application does not guarantee placement in a mentorship program and that matches will be based on compatibility and availability.

Thanks for submitting!

Gold Tier:

Exclusive Group Coaching Sessions, (1) One to One Monthly meeting, Strategic Goal Setting, Networking Opportunities, Ongoing Support and Accountability

100.00 monthly with a 12 month commitment

Platinum Tier:

Everything in the Gold Tier, (2) One to One Monthly meetings, Skill Development Workshops, Priority Access to Additional Services and Gatherings

200.00 monthly with a 12 month commitment

Diamond Tier:

You’ll receive everything in both Gold and Platinum Tiers, (4) One to One Monthly meetings, Specialty Mentor Matching, Access to Resources, Personalized Development Plan

300.00 monthly with a 12 month commitment

EmpowerNet Mentorship Program

Personal:

Education and Employment:

Mentorship Preferences:

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