Mentee Application Form

Thank you for your interest in participating as a mentee in the BAPA Mentorship Program! Please complete the following application to help us better understand your goals, interests, and mentorship needs so we can create the best possible mentor match.

Mentee Application

Name

First

Last

Email address*

Phone Number*

Which cohort(s) are you applying to? (Select all that apply)*

Fall/Winter Cohort: (September – February)

Winter/Spring Cohort: (January – June)

Please provide a brief professional bio, including your current role, field of study, relevant experience, and/or career aspirations.*

Please describe your short-term and long-term career goals.*

What are the biggest challenges you're currently facing in your career or education that you hope to address with your mentor?*

Please describe the areas where you would like guidance or mentorship and the specific skills you hope to develop through this program. (e.g., career path, leadership, technical skills, networking)*

Professional Headshot*

Please upload a clear, high-quality headshot.

LinkedIn Profile (URL)

Is there anything else you would like to share?

Communications & Recognition Consent*

I acknowledge and consent to BAPA using my name, professional bio, headshot, and mentorship participation in program communications (e.g., social media, website, newsletters, and other promotional materials). I understand that my personal contact information and mentor matching information will remain confidential.

Mentorship Commitment*

I commit to dedicating at least 6 hours throughout the mentorship cohort and actively participating in mentor meetings and program activities.