Overcome Academy Application
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Mentorship Intake Form
Current Job Title
Years in Position
Military Service if Applicable
Career Field - Select One
Computers and Technology
Health Care and Allied Health
Education and Social Services
Arts and Communications
Trades and Transportation
Management, Business, Finance
Architecture and Civil Engineering
Hospitality, Tourism, Service industry
Other – Write in
I have served in this career field for at least ten years holding an executive or leadership level position.
I am willing to commit to a minimum one year commitment as a mentor to an Overcome Academy Graduate
Have you been a mentor before?
I am willing to commit to a minimum of 4-6 hours per month dedicated to the mentorship consisting of weekly phone calls to offer encouragement, networking, and serve as an accountability partner with my mentee’s plan.
I understand by submitting my application as a mentor, I will be placed into a waiting list until an Overcome Academy class graduate is identified as a good fit for my profile, when I will be contacted by the Overcome Academy staff. I accept this could take years or potentially may never happen.
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