Become a Mentee

Mentee Application

Step 1. Ensure that you are currently a registered member with ACEL. If you are not, please fill out the membership application first and pay your membership dues.

Step 2. Fill out the form below as your digital application.

After you have completed the form, you will hear from us shortly!

*$100.00 non-refundable application fee is required. Please note that the PayPal will charge a 5% merchant fee

Your Contact Information
Mentorship Program Location*
Name*
Prefix First Last
Preferred to be called
Email*
Mobile Phone*
Home Phone
Work Phone
Address
Street Address City State ZIP Code
Convenient areas to meet your mentor*
Emergency Contact Information
Emergency Contact Name*
First Last
Emergency Contact Phone*
Emergency Contact Relationship to you*
Work/School Information
Employer Name
Industry
Position
Highest Level of Education Obtained*
Tell Us About Yourself
Please tell us what you feel are your strengths and weaknesses.*
What do you hope to accomplish with this mentorship experience?*
To further assist us in selecting the best match for you and your goals, we invite you to include a personal statement telling us where you've been and where you want to go, personally and professionally.
Please upload your resume, CV, or biography*
Max. file size: 500 MB.
Please upload your head shot*
Max. file size: 500 MB.
Program Requirements
A successful mentoring relationship requires a commitment of time and effort from both parties. Mentees, it’s up to you to take responsibility for your goals, ask questions and keep your Mentors updated on your progress. Mentors, we ask that you set aside time in your busy schedule to provide a listening ear and coaching for your Mentees.
The program requires a 10 month commitment (March-Jan. or Sept-July). Describe your schedule, existing commitments (work, family, volunteer, etc), and any situations (moving, changing jobs, family situations, travel, etc) that may make this challenging.*
Can you commit to having an electronic conversation (phone, text, email, social media, etc) with your mentor at least one a week? If not, please explain why.*
Can you commit to having a face-to-face meeting with your mentor at least one a month? If not, please explain why. **
The ACEL Mentorship Program has four mandatory events for both mentors and mentees to attend. Mark all that you can attend.*
- Matching Interview: 8/6/2022, 8 AM - 1 PM
- Orientation: 9/27/2022, 5:30 - 7:30 PM
- Midterm Assessment: 2/28/2023, 5:30 - 7:30 PM
- Graduation: 8/25/2023, 5 - 8 PM
Signature of Agreement
I understand that the ACEL Mentorship Program is a voluntary program whose success depends on the level of participation of both Mentor and Mentee. I understand that while the ACEL Mentorship Committee will make every effort to match me with an appropriate Mentor, the Mentorship Committee is not responsible for the performance of my Mentor, nor can the Mentorship Committee guarantee a match.

I understand that any breach of confidentiality between my Mentor and me will be grounds for dismissal from the Mentorship Program. I agree to inform my Mentor and the Mentorship Committee should I no longer be able to participate as a Mentee.

I verify that the information on this application is true to the best of my knowledge. I understand that I will be required to go through an orientation before I can participate in the Mentorship Program.
Signature
First Last
Date
MM slash DD slash YYYY
Payment
Please fill out the payment information below.
Mentee Application Fee
Total
$0.00
Payment Method*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Become a Mentee

Mentee Application

Your Contact Information

Emergency Contact Information

Work/School Information

Tell Us About Yourself

Program Requirements

Signature of Agreement

Payment