Kansas Library Association - Mentor Profile Form

* Preferred First Name

* Last Name

* Title/Position

* Organization

* Phone

* E-mail

* Preferred method of communication

Email
Phone
No Preference

* How often would you like to be in contact with your mentee?

Very frequently - about once a week
Frequently - every other week or so
Regularly - once a month
Occasionally - a few times a year when the mentee has questions
Other (please provide how often in box below)

If you selected 'Other' in previous question

* In which career development areas do you have the most expertise or experience?

If your primary career development area was not listed, please enter it here.

* Region of employment

Southwest
Northwest
Central
South Central
North Central
Northeast
Southeast
Outside of Kansas

In what specific city do you reside or have the strongest professional network?

One important component of a mentor/mentee match is a shared understanding of what the mentoring relationship should be. What characteristics are most important in a mentee? What can you offer as a mentor?

Professional biography upload: Please provide a professional biography that we can share with your mentee and use for your mentor profile.

What special experiences have you had that might be valuable to share with a mentee? (e.g. changing career paths, relocation, etc.)

Photo Upload: Please provide a photo of yourself to include with your mentor profile.

*Please enter the text in the security image:

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Mentor Profile Form

Kansas Library Association Mentor Profile Form

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