2025 YPN Executive Mentorship Application ~ Mentor



Thank you for applying to the 2025 YPN Executive Mentorship Program. Please use this form to apply as a mentor. 

The application deadline is Friday, November 1, 2024. The Capital Region Chamber recognizes the value to learning and growth that comes with having a diverse and inclusive program. We strive to increase the diversity of participants including: age, race, color, national and ethnic origin, religion, gender, gender identity and/or expression, sexual orientation, military or veteran status, marital status, disability, socio-economic status and work experience. Our goal is to create a program that is representative of the diversity in our region.

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Please include street address, city, state and zip

22-25
26-30
31-35
36-40
41-45
46+

Colleague
Friend
Email from Capital Region Young Professionals Network
Employer
Chamber e-newsletter
Other

Email
In person
Phone
Zoom/Teams

Your responses to the questions below will remain confidential. 
This information will NOT be shared with the person that you're matched with. 

Skill development/enhancement
Professional networking/resources
Promotion/job change support
Career transition
Other

Agriculture, Forestry, Fishing and Hunting
Mining, Quarrying, and Oil and Gas Extraction
Utilities, Construction, Manufacturing
Wholesale Trade, Sales
Information Technologies
Finance and Insurance
Real Estate, Rental and Leasing
Professional, Scientific, and Technical Services
Management of Companies and Enterprises
Educational Services
Health Care and Social Assistance
Arts, Entertainment, and Recreation
Hospitality and Food Services
Public Administration
Other

Career Development
Leadership
Management
Networking
Work life balance
Other

Please share authors, public speakers, public servants, artist etc. that you have found to be inspirational to your personal/professional development.