Protégé Application Assessment Form

In order for us to better fit you with the appropriate Mentor, please provide the following information:

  No
  Yes, but it was an informal relationship
  Yes, but it was in a formal program
  Yes, I would like to be matched with a Mentor from my field of my security
  No, I would like to be matched with someone from a different field of security.
  Yes
  No
  On-going career development
  Used to solve a long-term project
  Skill improvement
  Company/Industry cultural comprehension
  Educational foundation expansion
  Broader quality performance
  Enhance/Increase professional visibility
  Practice strategies
  Networking
  Area specialty development and practice
  Guidance on job searches
  Resume critiques
  Mock interviews
  Informational interviews
  Project collaboration and/or critique
  Business Phone
  Cell Phone
  Business e-mail
  Personal e-mail
  Go-to-meeting capabilities
  Live chat
  Video conferencing
  Face-to-face meetings
  Yes, I would like feedback to my manager from my Mentor on my progress.
  No, I do not want my manager to participate in the program with me. I will share my progress as I feel necessary.
  6 months or less-i.e., specific project
  1 year or less-i.e., general plan
  Longer than 1 year-continuing enhancement