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Mentor Registration (form)
*
First Name:
*
Last Name:
*
Title/Occupation:
*
Company/Organization:
*
Email Address:
*
Phone (with Area Code):
*
Are you a PRSA member?
--Please select--
Yes
No
Unsure
*
How many years experience do you have in the industry?
--Please select--
0-5 years
6-10 years
11-15 years
15+ years
*
Your Current Organizational Setting:
--Please select--
Corporate
Education
Government/Military
Independent Practitioner
Nonprofit/Association
PR Agency/Consultancy
Professional Services
Other (Current Organizational Setting):
*
Areas of Expertise (Select Top Choice):
--Please select--
Advertising
Branding
Business Development
Business to Business
Community Relations
Consumer Marketing
Corporate Communications
Corporate Social Responsibility/Corporate Citizenship
Crisis Management
Development/fundraising
Employee Communications
Employee Relations
Global Communications
Investor Relations/Financial Communications
Management/Administration
Marketing
Marketing Communications
Measurement and Evaluation
Media Relations
Media Training
Multicultural
PR Counseling
Product Publicity
Public Affairs
Reputation Management
Research
Social Media
Special Events
Teaching
Technology
Writer/Editor
Other (Area of Expertise Top Choice):
*
Areas of Expertise (Select 2nd Choice):
--Please select--
Advertising
Branding
Business Development
Business to Business
Community Relations
Consumer Marketing
Corporate Communications
Corporate Social Responsibility/Corporate Citizenship
Crisis Management
Development/fundraising
Employee Communications
Employee Relations
Global Communications
Investor Relations/Financial Communications
Management/Administration
Marketing
Marketing Communications
Measurement and Evaluation
Media Relations
Media Training
Multicultural
PR Counseling
Product Publicity
Public Affairs
Reputation Management
Research
Social Media
Special Events
Teaching
Technology
Writer/Editor
Other (Area of Expertise 2nd Choice):
*
Areas of Expertise (Select 3rd Choice):
--Please select--
Advertising
Branding
Business Development
Business to Business
Community Relations
Consumer Marketing
Corporate Communications
Corporate Social Responsibility/Corporate Citizenship
Crisis Management
Development/fundraising
Employee Communications
Employee Relations
Global Communications
Investor Relations/Financial Communications
Management/Administration
Marketing
Marketing Communications
Measurement and Evaluation
Media Relations
Media Training
Multicultural
PR Counseling
Product Publicity
Public Affairs
Reputation Management
Research
Social Media
Special Events
Teaching
Technology
Writer/Editor
Other (Area of Expertise 3rd Choice):
Areas of Expertise (Select 4th Choice):
--Please select--
Advertising
Branding
Business Development
Business to Business
Community Relations
Consumer Marketing
Corporate Communications
Corporate Social Responsibility/Corporate Citizenship
Crisis Management
Development/fundraising
Employee Communications
Employee Relations
Global Communications
Investor Relations/Financial Communications
Management/Administration
Marketing
Marketing Communications
Measurement and Evaluation
Media Relations
Media Training
Multicultural
PR Counseling
Product Publicity
Public Affairs
Reputation Management
Research
Social Media
Special Events
Teaching
Technology
Writer/Editor
Other (Area of Expertise 4th Choice):
*
Please write a brief description of your work responsibilities.
*
How do you prefer mentees to first contact you (e.g. phone, email, etc.)?
Which tier would you like to be registered as within the PRSA Advisory Network?
Small group-based mentoring:
Opportunities for mentors to occasionally meet with small groups of students/mentees – facilitated by YPRP.
Project-based mentoring:
Opportunities for mentors/mentees to collaborate on specific project(s) for a designated period of time – whether a resume, portfolio-building or another project.
Informal/informational interview mentoring:
Opportunities to occasionally and selectively connect for one-to-one informational interviews, brief phone exchanges, or via email, for specific questions.
Please select all that may apply:
Small group-based mentoring
Small_group_based_mentoring
Project-based mentoring
Project_based_mentoring
Informal/informational interview mentoring
Informal_informational_interview_mentoring
Please share any additional information or comments you may have.