Mentor Questionnaire Name* First Last Title* Organization/Company* Phone Number*Email* Headshot* Drop files here or Select files Accepted file types: jpg, png, Max. file size: 50 MB, Max. files: 3. Please upload a photo of yourself for the websiteBriefly describe your current role and responsibilities in the field of economic development.*How many years of experience do you have in economic development?*1 Year2 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 - 15 Years16 - 20 Years21 - 25 YearsOver 25 YearsWhat degrees and/or certifications do you have?* Describe some of your economic development achievements.*What specific economic development areas of expertise or passion topics would you like to assist a mentee with? (Select up to 4)* Rural economic development Urban economic development Marketing and business attraction Business retention and expansion Strategic planning Downtown/main street revitalization or neighborhood development Redevelopment or infill projects Boards and/or commissions Land use and planning Small business development or entrepreneurship development Workforce development Working with non-profits and fundraising Incentives and financial resources Other: What leadership style do you believe best represents your mentoring approach?* Guiding: I provide clear guidance and direction to help mentees navigate challenges. Collaborative: I value mentee input and encourage collaboration in their growth and development. Inspirational: I motivate and inspire mentees to exceed their own expectations. Supportive: I focus on meeting the needs of my mentees and supporting their success. Empowering: I trust my mentees to make decisions, and I offer guidance as needed. Adaptive: I adjust my mentoring approach based on the situation and the needs of the mentee. Other: What values are most important to you in a professional setting? (Select up to 3)* Integrity and Ethics Respect and Inclusivity Continuous Learning and Growth Innovation and Creativity Team Collaboration Accountability and Responsibility Empowerment and Autonomy Social and Environmental Responsibility Other: Which of the following soft skills are you most proficient in? (Select up to 4)* Communication skills Problem-solving Adaptability Emotional intelligence Time management Conflict resolution Collaboration Leadership development Decision-making Networking Other: Share 2 interesting or unique facts about yourself.* What is your ideal cadence for meeting with a mentee? [multiple choice]* Weekly Bi-weekly Monthly Other: Is there any additional information you would like to provide or any questions you have regarding the mentoring program? Δ
