External: Mentor Application - Oregon Pride in Business (ORPIB)

External: Mentor Application

Oregon Pride in Business (ORPIB) proudly announces the Mentorship Program to foster encouraging environments where mentors and mentees can take their business to the next level through sharing, assisting, and coaching.

If you would like to participate as a mentor, please fill out the following required information. This information will be kept confidential and will only be used for this program.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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Basic Information

First Name *

Last Name *

Organization *

If you do not have a business, put NA.

Title *

If you don't have a Title, add a brief description of your current role or passion.

Email *

Phone

City

Where are you or your business based?

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Mentor Application

Do you identify as LGBTQ+? *

We welcome allies who would like to mentor our Q+ mentees.

Yes

Are you an ORPIB member? *

Please note: Membership is required to participate in the program. If you are not currently an OPRIB member, we will connect you with Member Services to get you signed up.

Yes

Have you participated in a mentorship program in the past? *

Yes

If yes, please describe your experience. If no, why do you want to participate in this program? *

Are you willing to commit to a minimum 2 hours every month for at least 6 months? *

Yes

Are you willing to travel to meet with your mentee if required? *

Yes

Maybe - let's talk

Please indicate skills and areas of expertise you would provide as a mentor. *