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Sales/Business Development
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Consumer Products & Services
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Terms of Service
*
I have read and agree with the
Code of Ethics and Conduct
.
Sign Up As A Coach / Mentor AND Find Your Ideal Coach / Mentor
Sign Up As A Coach
Sign Up As A Mentor
Find Your Ideal Coach
Find Your Ideal Mentor
1. Do you have a coaching qualification?
*
Yes
No
1.1 Please provide the name of institution conferring the qualification?
*
Wits Business School
University of Stellenbosch Business School
Other
1.1 Please provide the name of institution conferring the qualification?
2. Do you have a coaching accreditation?
*
Yes
No
2.1 Please provide the name of institution conferring the accreditation?
*
International Coaching Federation (ICF)
Coaches and Mentors South Africa (COMENSA)
Association of Business Coaches
Other
Other
3. Please provide the type/level of your formal coaching qualification
*
Associate Certified Coach (ACC) / Credentialed Practitioner (CCP)
Professional Certified Coach (PCC) / Senior Practitioner (CSP)
Master Certified Coach (MCC) / Master Practitioner (CMP)
In the process of being credentialled
Not credentialled
4. Have you ever Coached someone formally?
*
Yes - Formally
Yes - Informally
Yes - Both formally and informally
No
Other
Other
4.1 What are your coaching hours to date?
Less than 100 hours
101 to 500 hours
501 to 1000 hours
1001 to 1500 hours
1501 to 2000 hours
2001 to 2500 hours
2501 to 3000 hours
More than 3001 hours
5. What are your coaching specialisations? You can select up to 3 options in order of priority.
Option 1
*
Executive Coaching (Corporate)
Business (Entrepreneurial)
Life Coaching
Sports Coaching
Other
Option 1
Option 2
Executive Coaching (Corporate)
Business (Entrepreneurial)
Life Coaching
Sports Coaching
Other
Option 2
Option 3
Executive Coaching (Corporate)
Business (Entrepreneurial)
Life Coaching
Sports Coaching
Other
Option 3
5.1 If you have any other area of specialisation please indicate this
6. Please upload your coaching qualification/accreditation certificate? Please note that by providing this certificate copy, you are giving us consent to confirm your qualification. *
File Upload
Drop a file here or click to upload
Choose File
Maximum upload size: 2MB
7. Which industries do you have the most experience in?
NB: Select up to a maximum of 3 industries, in order of prioritisation. Please provide number of years.
Industry 1
*
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Industry 2
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Industry 3
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
8. What are the functions you have the most experience in?
You are able to select up to a maximum of 3 functions (in order of priority)? Please provide number of years.
Function 1
*
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Function 2
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Function 3
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
9. Please select up to 3 aspects which you believe you could assist/advise/counsel would-be coachees on (in order of prioritisation). Alternatively, add the aspects you would like included.
Aspect 1
*
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 1
Aspect 2
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 2
Aspect 3
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 3
10. Considering the Generation range which you currently fall into, which generations ranges are you willing to receive and accept Coaching requests from?
Select all that apply (hold down command or control to select more than one option.)
*
25 - 35
36 - 45
46 - 55
> 56
It does not matter
11. What number of coachees are you comfortably able to be Coaching, at any one time?
*
1 to 2
3 to 5
>5
12. Tell us about your Extra Mural Activities/Hobbies/Interests.
*
(250 words max)
13. Do you have a criminal record?
*
No
Yes
Prefer not to say
14. If Yes, please disclose the nature of the criminal record
*
15. Have you ever been sequestrated/declared insolvent before?
*
No
Yes
Prefer not to say
16. Testimonials may actually enhance your chances of selection by prospective coachees. Please provide two (2) references for reference checks.
NB: References will only be taken if the coachee who selects you, insists on references being taken or existing references being confirmed, and you as the prospective mentor also consent. Referees will never be contacted without your consent.
First Reference
Written testimonials
Choose File
Maximum upload size: 2MB
Second Reference
Written testimonials
Choose File
Maximum upload size: 2MB
Would you like to upload any documents?
Choose File
Maximum upload size: 5MB
Do you give consent for LegacyXYZ to conduct reference searches against the submitted information i.e. Qualifications
*
No
Yes
I agree to the
Terms of Service
*
No
Yes
1. Have you ever mentored someone/others before, either formally or informally?
*
Yes - Formally
Yes - Informally
Yes - Both formally and informally
No
2. What are your mentoring hours to date?
Less than 100 hours
101 to 500 hours
501 to 1000 hours
1001 to 1500 hours
1501 to 2000 hours
2001 to 2500 hours
2501 to 3000 hours
More than 3001 hours
3. Considering the generation range which you currently fall into, which generations ranges are you willing to receive and accept mentoring requests from?
*
18 - 25
26 - 35
36 - 45
46 - 55
56+
On a scale of 1 to 5 how important this variable is to you (1 is not important, 5 is very important)
1
2
3
4
5
4. Please select up to 3 aspects which you would like to mentor on (in-order of priority)
Aspect 1
*
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 1
Aspect 2
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 2
Aspect 3
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Enhancing Emotional Intelligence (EQ): Managing corporate politics and power in the workplace
Effectively motivating and influencing others
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Other
Aspect 3
On a scale of 1 to 5 how important this variable is to you (1 is not important, 5 is very important)
1
2
3
4
5
5. Which industries do you have the most experience in?
NB: Select up to a maximum of 3 industries, in order of prioritisation. Please provide number of years.
Industry 1
*
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Industry 2
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Industry 3
Consumer Products
Financial Services
Government, Education & Non-Profit
Industrial
Life Sciences & Healthcare
Logistics & Transportation
Natural Resources & Energy
Professional Services
Technology
It does not matter
Other
Industry 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
6. What are the functions you have the most experience in?
You are able to select up to a maximum of 3 functions (in order of priority)? Please provide number of years.
Function 1
*
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Function 2
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
Function 3
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 35 years
>35 years
7. What number of mentees are you comfortably able to mentor, at any one time?
*
1 to 2
3 to 5
>5
LegacyXYZ seeks to protect its brand, its clients and service providers’ safety at all times. As such it is required that we substantiate all applications and the legitimacy thereof before approving the application. The following questions therefore fulfil that objective:
8. Do you have a criminal record?
*
No
Yes
Prefer not to say
9. If Yes, please disclose the nature of the criminal record
*
10. Have you ever been sequestrated/declared insolvent before?
*
No
Yes
Prefer not to say
11. Tell us about your Extra Mural Activities/Hobbies/Interests.
*
(250 words max)
References may actually enhance your chances of selection by prospective mentees. Please provide two (2) references for reference checks.
NB: References will only be taken if the coachee who selects you, insists on references being taken or existing references being confirmed, and you as the prospective mentor also consent. Referees will never be contacted without your consent.
First Reference
Written reference
Choose File
Maximum upload size: 2MB
Second Reference
Written reference
Choose File
Maximum upload size: 2MB
Would you like to upload any documents?
Choose File
Maximum upload size: 5MB
Do you give consent for LegacyXYZ to conduct reference searches against the submitted information i.e. Qualifications
*
No
Yes
I agree to the
Terms of Service
*
No
Yes
1. Have you ever received coaching services before, either formally or informally?
*
Yes – formally
Yes – informally
Yes – both formally and informally
No
2. Rate your previous coaching experience on a scale of 1-5. 1 = Very Poor, 2 = Poor, 3 = No Comment, 4 = Good, 5 = Excellent
*
1
2
3
4
5
3. Who is responsible for making payment for the coaching services?
*
Myself
Company
Company
if company, please enter name of the company.
4. Do you prefer to be coached by someone the same gender as you?
*
Yes
No
Does not matter
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
5. Do you prefer to be coached by someone the same race as you?
*
Yes
No
Does not matter
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
Preferred forms of Communication
*Please note that if you choose this option, the matching process will take into consideration the geographical location of your would-be coach.
6. What is/are your preferred form/s of communication?
*
Email
Telephone/Mobile
Skype
Zoom
Microsoft Teams
Other
Other
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
Age of Coach
7. Given your coaching needs and/or your age profile, what age group would you prefer your Mentor to be from?
*
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
8. What type of Coaching do you need/require?
*
Executive Coaching
Business Coaching
Life Coaching
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
9. Please select up to 3 aspects which you believe you would like receive coaching on (in order of priority).
Priority 1
*
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Priority 2
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Priority 3
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
10. Which functions you would like your would-be Coach to have experience in. Please select up to 3 functions plus the preferred experience in number of years.
Function 1
*
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
Function 2
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
Function 3
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you (1 is not important, 5 is very important)
*
1
2
3
4
5
11. Tell us more about yourself, e.g. extra mural activities (hobbies, etc). This will give your prospective mentor more valuable information about your profile.
*
(250 words max)
I agree to the
Terms of Service
*
No
Yes
1. Have you ever received mentoring services before, either formally or informally?
*
Yes – formally
Yes – informally
Yes – both formally and informally
No
2. Rate your previous mentoring experience on a scale of 1-5. 1 = Very Poor, 2 = Poor, 3 = No Comment, 4 = Good, 5 = Excellent
*
1
2
3
4
5
3. Who is responsible for making payment for the mentoring services?
*
Myself
Company
Company
if company, please enter name of the company.
4. Do you prefer to be mentored by someone the same gender as you?
*
Yes
No
Does not matter
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
5. Do you prefer to be mentored by someone the same race as you?
*
Yes
No
Does not matter
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
Preferred forms of Communication
*Please note that if you choose this option, the matching process will take into consideration the geographical location of your would-be mentor.
6. What is/are your preferred form/s of communication?
*
Email
Telephone/Mobile
Skype
Zoom
Microsoft Teams
Other
Other
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
Age of Mentor
7. Given your mentoring needs and/or your age profile, what age group would you prefer your Mentor to be from?
*
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
8. What type of Mentoring do you need/require?
*
Executive Mentoring
Business Mentoring
Life Mentoring
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
9. Please select up to 3 aspects which you believe you would like receive mentoring on (in order of priority).
Priority 1
*
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Priority 2
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
Priority 2
Enhancing your communication and/or negotiation skills
Developing your personal vision and/or the team/company vision
Learning the art of reflection: personal insight and knowledge
Effectively motivating and influencing others
Dealing with complexity, diversity and ambiguity in situations
Successful Delegation and the art of getting things done
Effective Networking
Time management/prioritization; gaining effective work/life balance
Personal Mastery: developing a personal brand or a Personal Development Plan
Addressing problems with interpersonal relationships
Tackling consistent failure to meet business objectives
Coping with ability to adapt or change
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
10. Which functions you would like your would-be Mentor to have experience in. Please select up to 3 functions plus the preferred experience in number of years.
Function 1
*
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 1
Years of Experience
*
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
Function 2
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 2
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
Function 3
Marketing/Communications/Corporate Affairs
Sales/Business Development
Finance/Accounting
Purchasing/Procurement
Operations/Commercial
Human Resources
IT
Legal/Regulatory
Risk/Compliance
Facilities Management/Administration
General Management/Senior Management/Exco
It Does Not Matter
Other
Function 3
Years of Experience
2.1 to 5 years
5.1 to 10 years
10.1 to 15 years
15.1 to 25 years
25.1 to 5 years
>35 years
IMPORTANCE RATING: On a scale of 1 to 5 please rate how important this variable is to you(1 is not important, 5 is very important)
*
1
2
3
4
5
11. Tell us more about yourself, e.g. extra mural activities (hobbies, etc). This will give your prospective mentor more valuable information about your profile.
*
(250 words max)
I agree to the
Terms of Service
*
No
Yes
If you are human, leave this field blank.
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