2017-18 Staff Mentee Interest From

UC Blue Ash College Staff Mentee Interest Form

Use this form to submit your interest in participating as a mentee in the UC Blue Ash College Staff Mentoring Program. The information you provide will assist us in understanding your interest and for program logistics. Mentee forms can be submitted anytime! If you have any questions email ucbahr@uc.edu and we will be happy to assist.
Contact Information
Name*

First NameLast Name
Department/Office*
Work Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Employment Information
Current Job Title (include working title if applicable): *
How long have you worked at UC Blue Ash College? *
How long have you been in your current position? *
Have you held any previous positions at UC? *

YesNo
What positions and for how long? *
Supervisor Information

Your supervisor will receive an email notifying them of your interest and for approval. Please be sure to enter a correct email address for them.
Supervisor's Name*

First NameLast Name
Supervisor's Email*
example@example.com
Interest Information
Why are you interested in being a mentee?*
What do you feel are your strengths and areas of expertise?*
Please indicate any specific objective(s) you would want to gain from the mentoring relationship.*

Clarifying your professional goalsDevelop skills that lead to your professional growth, development, and successDevelop relationships through networkingWork together to create a career planImprove your job effectivenessLearn more about the University of CincinnatiDevelop leadership skillsOther
Do you already have someone in mind that you would like to serve as your mentor?*

YesNo
Name of the person you are considering*
Email for person you are considering*
Any other comments or questions
Submission and Approvals

Participation in the UC Blue Ash College Staff Mentoring program as a mentee requires that your supervisor approve of your participation. They will receive an email at the email address you provided for them in order to complete the approval process. We must receive their submission in order for you to participate.

You will also receive a link you can share with them to complete the approval process. It is your responsibility to make sure approvals are received.
Should be Empty:

UC Blue Ash College Staff Mentee Interest Form

Contact Information

Employment Information

Supervisor Information

Interest Information

Submission and Approvals