Mentor Application

ISM ID#:

Name:

Job Title:

Company:

Primary Address:

Note: Please do not use dashes when entering phone number. Ex: 4125551234

Phone 1#

Phone 2#

Are you a member of any other professional organizations?
Yes
No

If so, please list.

What is the extent of your supply management education, including internship experience?

What are your areas of supply management experience/ expertise?

What are your professional certifications?

What is your preferred approach to teaching/learning? Visual/email/ etc.

Have you ever participated in a mentoring relationship? Formal or informal? If you have participated, what were some lessons learned?

How much time are you willing to devote to your mentee?

Why do you want to be an ISM Pittsburgh mentor?

Please attach your resume and any other relevant professional development information to this questionnaire.

* required