Mentee 2027 YPN Executive Mentorship Application

Thank you for your interest in applying to the 2027 YPN Executive Mentorship Program. Please use this form to apply as a mentee.

The application deadline is Friday, November 6, 2026. 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.

Fields marked with an * are required.

First Name *

Last Name *

Age *

18-21

22-25

26-30

31-35

36-40

41-45

46+

My preferred name or common name is:

My preferred pronouns are, and my gender identity is:

Current city or town in the Capital Region: *

How long have you lived in the Capital Region? *

Have you participated in the YPN - Executive Mentorship Program before? *

If you selected no, how did you hear about the program?

Colleague

Friend

Email from Capital Region Young Professionals Network

Employer

Chamber e-newsletter

Social media

Other

Are you currently an undergraduate student? *

Yes

Organization *

Employer or Higher Ed institution

Years at current employer or school: *

Mobile phone: *

E-mail address: *

Share your LinkedIn profile here:

Title *

Years of experience in your field? *

Would you like to be matched with someone in your field? *

What areas of expertise would you like to learn more about? *

Meeting time/day preference: *

Meeting Preference, select all that apply. *

In person

Virtual

Current professional goals or challenges you would like to address? *

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

Describe your ideal mentor: personality type, communication style, feedback style *

What are your hobbies or personal interests? *

What is one professional and one personal goal you want to accomplish during the program? *

Describe what a successful program experience looks like in 3 lines or less:

Do you have a mentor in mind? If yes, please list their name below.

If not, that is ok! Our Match Team makes quality matches based on your responses.

Any additional information that you would like to share?

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