Mentor Form Fuse Mentor Form Name* First Last Email* Phone*Company* Current Position* As a mentor, how can you help the Fuse community?*Provide a short description of yourself. Include your specific experience with your mentoring abilities. It is important that your skill set is mentioned in the first sentence. We strongly encourage you to use the keywords by which you would like to be found. The paragraph should summarize and emphasize the core skills and knowledge that you’ll use in mentoring sessions. While being concise, we encourage you to make your paragraph as engaging and conversational as possible.Other Experience*Provide additional information about your accomplishments, philanthropic efforts, personality or other areas you think might be applicable.Short Bio*Provide a three sentence summary as an introductory bio to be displayed on the Fuse website.Profile Photo*Accepted file types: jpg, png, Max. file size: 1 MB.Upload a picture of your smiling face so your mentee can recognize you in person. We would like to display your photo on the Fuse "members only" mentor page. Please keep my profile private Industry Experience (select all that apply)* Agriculture and Farming Arts and Entertainment Banking, Financial Services Insurance Automotive Construction, Industrials and Utilities Consulting, Research and Business Services Educational Services Engineering Environmental Services Government Contracting Health Care and Life Services Manufacturing & Mining Marketing, Advertising and Creative Services Media and Communications Nonprofit Organizations Personal Services and Wellness Real Estate, Rental Services and Leasing Food and Beverage Retail and Wholesale Trade Technology and Web-Based Services Transportation and Warehousing Waste Management Other: Other Industry Experience Areas of Expertise (select all that apply)* Business Finance & Accounting Business Operations Business Strategy & Planning Government & Regulations/Compliance Human Resources & Internal Communications Intellectual Property Legal Services Manufacturing & Product Development Non-Profit Sales, Marketing & Public Relations Startup/Entrepreneur/Incubator/Accelerator Supply Chain Management Project Management Technology & IT Services (web/mobile/application programming, infrastructure, design, program management, IoT, data science/analytics, database, AI, VR, cryptocurrency, security, telephony, ) Other: Other Areas of Expertise A copy of your responses will be emailed to the address you provided. Your contact information will not be shared publicly, it is for Fuse use only.
