MENTOR APPLICATION

Please note, applications will be kept confidential and on file at the AD99 Solutions office. Applications are used by AD99 Solutions to identify and evaluate candidates. AD99 Solutions is committed to maintaining an organizational culture that’s collaborative, safe, and rewarding. Our executive leadership reserves the right to decline opportunities if a candidate is not deemed a suitable fit.

For the safety of program participants, it’s policy to conduct criminal background checks.

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Name
Address
Educational Background
Work History
Boards, Committees, or Community Activities:
Other Memberships, Achievements, etc.:
Family Information
If not a current Pittsburgh resident, please outline your ties to the area:
How much time per month can you dedicate to this commitment?
Which days of the week are most convenient for you (check all that apply)
Which time of day is most convenient for you?
How do you prefer to communicate with your mentee? (check all that apply)
Have you been a formal or informal mentor before?
Skills, Experience, and Interests (check all that apply)
Briefly describe why you should be considered as an AD99 Solutions Mentor
Are you able to offer any work-based mentorship opportunities such as office visits, job shadow programs, internships, etc.? If so, please describe
What are your expectations of your Mentee and the AD99 Solutions Mentor program?
By submitting this application, you are verifying that all information provided is true and that you are willing to undergo a full background check and in-person interview.
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