ELN Mentorship Application: Mentors

CRCC Emerging Leaders Network Mentorship Program

Below is an application to apply for a mentor role in our new CRCC ELN Mentorship Program.

Please review the Mentor Guide here, and complete the application below for consideration.

If you have any questions, please get in touch with Taylor Bauer, Director of Communications and Marketing.

First Name

Email *

How many years have you been a Certified Rehabilitation Counselor?

Current Title (Role)

Short bio (Tell Us About Yourself)

What characteristics or traits do you believe a great mentor should possess?

What do you expect to take away from the mentorship experience?

Considering the requirements and expectations of mentors as listed in the Welcome Guide, what are 2-3 skills you pride yourself on that would aid you in this role?

Can you commit to at least one hour a month for virtual meetings with your mentee?

Resume *

Drop your file here or click here to upload You can upload up to 1 files.

Is there any other information you'd like to share with us?

By selecting this box below, you agree that the information you have provided is accurate to the best of your knowledge. *

I agree

Last Name

Phone

What additional certifications/credentials do you hold?

Company/Employer

What moment(s) in your career have made you say, "this is why I wanted to become a Certified Rehabilitation Counselor?"

List any mentorship or leadership experiences that provided you relevant experience for this mentorship program.

Share your top five values as a professional.

How would you ensure good communication practices are in place for you and your mentee, in accordance with the Welcome Guide?

CRCC Emerging Leaders Network Mentorship Program

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