Mentor Application Form


Thank you for your interest in participating in the PMI Portland Mentoring Program!
This form is intended to help us get to know a little about you as a potential mentor, but also to help us find a match with an appropriate mentee.
Please note that PMI Portland keeps all contact information private. LinkedIn profiles should be public, however, and will be used to introduce people to one another.


Full Name(*)

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Mailing Address(*)

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City(*)

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State(*)

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Email(*)

enter a valid email address

Secondary Email

enter a valid email address

Phone (xxx-xxx-xxxx)(*)

enter a valid phone number (123-456-7890)

Secondary Phone (xxx-xxx-xxxx)

enter a valid phone number (123-456-7890)

Best time of day to contact you by phone.(*)

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Current Employer(*)

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Job Title

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Are you currently a PMI Portland Chapter member?(*)

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Not being a member will not disqualify you as a potential mentor in this program.

Certifications(*)

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LinkedIn Profile. (For example, www.linkedin.com\name. Please be sure your profile is public.)

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Years of project management experience.(*)

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Are you currently a project manager?(*)

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Please describe your experience in managing projects.

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Have you participated in a PMI mentoring program in the past?(*)

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If YES, in what capacity?

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If you have participated in a non-PMI mentoring program, please explain.

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Are you able to commit the necessary time to the mentoring program? (Meeting with mentee at least once a month for two hours.)(*)

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Please state any timing, schedule, employment or security constraints that could affect your ability to participate in the program. (Including travel schedules, security clearances or competitive conflicts.)(*)

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Why are you interested in being a mentor in this program?(*)

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What are the important qualities in a potential mentee?(*)

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What skills, experiences, and knowledge do you offer to a mentee in the program?(*)

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What are your personal interests/hobbies outside of work (for matching purposes)?(*)

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Please share anything else that you would like to tell us or that you think would help the matching process. (Such as preference in mentee's location, professional interest, face-to-face vs. online or telephone contact, etc.)

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If you have a mentee in mind, please write the name below. We will try our best to honor your request.

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Check the industries in which you have had a project management role.(*)

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In which of the following knowledge areas do you have experience/expertise?(*)

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How did you learn about the PMI Portland Chapter mentoring program? Select all that apply.(*)

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Verification(*)

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