Future Leaders in Motion: Mentor Application



FPDA Future Leaders Program: Mentor Participation Form

Please complete the following:

Find me a mentee.

I have a mentee in mind.

Desired Mentee:

I understand that this mentoring commitment is for a full 13 months, beginning in September 2022 and ending in October 2023.


Name:
Title:
Company Name:
Company Address:
City:
State/Province:	Zip/Postal Code:
Country:
Work Telephone:
Cell Phone:
Email:



Company Information:

Sales Category:
Company Type:
Number of Employees:
Products Distributed or Manufactured:
Main Product Brands (Distributors):
Area or Territory Covered:
What are some key business challenges your company is currently facing?


Personal Information:

Please give a brief description of your professional background (in 50 words or less):
Describe your current responsibilities:
Please list your key business skills and strengths (in 50 words or less):
What are some of your personal interests or hobbies?
Are there any other comments you would like to add?



Social Media Profiles:

Twitter:
Facebook:
Linkedin:
Instagram: