Future Leaders Academy - Mentor Application

Welcome to the Future Leaders Academy!

Mentors of Future Leaders are essential not just to our program's success but our community's long-term success.

Women, first generation college graduates, minorities, veterans, members of the LGBTQ+ communities, and persons with disabilities are encouraged to apply.

Scroll down to complete your application!

If you have any questions, you can reach us here:

Brian Hammer, PhD, Executive Director | bhammer@t2pri.org | 612.843.5017

Name

First Name

Last Name

Verify Email

Cell Phone

Current Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Summary of Professional Experience and Current Affiliation. You are welcome to provide a link to your LinkedIn profile as part of your response.

Reference

Please provide the name, email address and phone number of a mentor of your own.

Who is a leader you admire? Why? (300 word limit)

Please tell us something about yourself and your interest in joining the Future Leaders Academy. (300 word limit)

Important Dates to Keep in Mind:

Are you available on the following dates? Leadership Workshop: 90-minute, virtual group leadership workshop sessions on Saturday, April 20, and May 18, 2024 + Mentorship Kick-off Celebration on Saturday, June 1, 2024. Please note: Mentors & Mentees meet monthly, on your own schedule, from July 2024 through June 2025. We will have a formal Future Leaders Academy graduation celebration in June 2025.

Yes, I am available on each of those dates

No, I'm not available on those dates.

How did you hear about the Future Leaders Academy?

Friend/Colleague

Future Leaders Academy mentor

Social Media - Instagram

Website

think2perform Research Institute newsletter

Other

Mentor Screening Process

We appreciate and welcome your participation in the Future Leaders Academy as a mentors and co-learner with our Future Leaders. Thank you! ~ A screening process is required as part of the mentor application and details of the screening process will be shared with you upon completion of this application. Please indicate your acknowledgement of this required process, below:

Yes, I understand details about the required mentor screening process will be sent to me upon completion of this application.

No, I do not wish to participate in the required mentor screening process.