Mentee 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 mentee, but also to help us find a match with an appropriate mentor.
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(*)

Invalid Input

Mailing Address(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

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.(*)

Invalid Input

Current Employer(*)

Invalid Input

Job Title

Invalid Input

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

Invalid Input
Not being a member will not disqualify you as a potential mentee in this program.

Certifications(*)

Invalid Input

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

Invalid Input

Years of project management experience.(*)

Invalid Input

Are you currently a project manager?(*)

Invalid Input

Please describe your experience in managing projects.

Invalid Input

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

Invalid Input

If YES, in what capacity?

Invalid Input

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

Invalid Input

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

Invalid Input

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.)(*)

Invalid Input

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

Invalid Input

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

Invalid Input

What skills, experience, and knowledge would you like to see in a mentor?(*)

Invalid Input

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

Invalid Input

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

Invalid Input

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

Invalid Input

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

Invalid Input

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

Invalid Input

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

Invalid Input

To help offset administration costs, mentees will be charged a small fee. Your Mentee application is not complete until you also make this payment. See the Mentoring Webpage for the link.(*)

Invalid Input

Verification(*)

Invalid Input