STEM ConnectHER Mentor

Thank you for your interest in becoming a mentor!
This form will help us understand your interest, availability and expectations from the program. The STEM ConnectHER team will assist you with the next steps post your submission. For any further queries, you may contact us at [email protected]

Full name

Gender

Country

Contact Number

Company/Organization

Job Title

Work Email Address

Alternate Email Address

Industry Experience

Area of Expertise for Mentorship

Indicate any specific skillset you would like to provide mentorship on based on your chosen area of expertise

Do you have any prior mentoring experience?

Preferred Start Date of Mentorship

Preferred End Date of Mentorship

How much time will you be able to dedicate to the program in a month?

How did you find out about the program?

What do you hope to achieve through participating in the program as a mentor?

Any comments or expectations from the STEM ConnectHer program?

I consent to the use of my data according to the TAF and STEMConnectHER Data Privacy Policy and provide my information voluntarily.

I consent to the use of my data to receive other news and announcements from The Asia Foundation.