Mentee Application – Future Tax Leaders

Username^*

Password^*

Password must be at least 7 characters long.

Enter password again^*

Password must be at least 7 characters long.

Email^*

Thank you for your interest in being mentored through Future Tax Leaders. All information you share with us will remain confidential. Please answer the following questions to assist us in matching you with one or more mentor(s).

Tell us about yourself and your current situation, including the title you report to and the titles that report in to you.

First Name^*

Last Name^*

Street Address #1^*

Street Address #2

City^*

State^*

Zip Code^*

Phone No.^*

Email^*

Employer^*

Title^*

Number of Years at Employer^*

Number of Years in Field^*

Reporting Structure (describe where your position fits into your employer's reporting structure)^*

Number of Direct Reports^*

Responsibilities^*

Tell us where you would like to be in your career, including size of company, size of department, and size of team reporting to you, and areas you would like to strengthen.

Short-Term (1 year)^*

Mid-Term (3-5 years)^*

Long-Term (career peak)^*

Subject Matters^*

Where have you been succeeding or struggling and what have you found helps or hindered your goals?

Strengths^*

Weaknesses^*

Steps Taken/ing^*

Obstacles^*

When are the best times and methods to work on mentoring?

Communication^*

Learning Style^*

Written
Verbal
Visual
Other