NAAAHR-GNY's Mentoring Program is designed to increase opportunities for mentoring as a professional development experience for its memberers. We hope you will find this program helps you in your personal and professional development!
Name
E-Mail Address
Education Level
Professional Certifications
Employer
Company Name
Address
Your Preferred Telephone/Mobile
Interest	I want to be a mentor I want to be a mentee I'd like to be both a mentor and mentee
Availability
When do you prefer to have a mentoring session?	During works hours During lunch After work In the morning, before work Weekday Weekend
Please check the ways you would prefer to communicate with your mentor or mentee?	In person Phone E-Mail
Mentoring Background
Have you been a mentor or mentee (informally or in a program) before? If yes, please describe your experience.
Optional: Please list any preferences you would like to be considered when your tentative match is made.
Technical Areas
Mentors and Mentees, please check the technical areas in which you have experience.	Employee Relations Diversity Compensation Benefits Training and Development Other (Please specify.)
Mentors, please check the technical areas in which you feel comfortable mentoring.	Employee Relations Diversity Compensation Benefits Training and Development Other (Please specify.)
Mentees, please check the technical areas you wish to develop.	Employee Relations Diversity Compensation Benefits Training and Development Other (Please specify.)
Please attach your resume