Division of Small Business Opportunity

MENTOR APPLICATION

Company Name: ______

Company Address: ______

Company Telephone: ______Email: ______

Main Contact Person: ______

Question #1 / What is your work specialty?
Answer:
Question #2 / How long has your company been working in the Denver area?
Answer:
Question #3 / To what Trade Associations, Chambers and Organizations does your company belong?
Answer:
Question #4 / How have you engaged the MWBE community in the recent past?
Answer:
Question #5 / Give examples of other mentoring programs or relationships (formal or informal) in which your company has been involved in:
Answer:
Question #6 / Why does your company want to participate in the mentor-protégé program? Please describe your understanding of the program goals and your objectives for the program (what you would like to get out of the program).
Answer:
Question #7 / Please list key personnel of your company who will participate in the program and their role, identify the point of contact:
Answer:
Question #8 / How many hours will your company commit to the protégé?
Answer:
Question #9 / Do you prefer to be teamed in the same discipline or industry or be teamed with a complimentary discipline or industry? If complimentary, which one?
Answer:
Question #10 / Optional: Do you propose a company as your mentor team member for this program? If yes, whom:
Answer:

Please save this document to your computer, then email it to:

Thank you for your interest in our Mentor-Protégé Program!