» Mentorship Application

Application for individuals interested in being a mentor or mentee.

Name
First Last
Email
Pronouns
Name of College/University
Location (City, State)
Degree (ex. MSW, MA Counseling, PhD. in Higher Ed)
Certifications (ex. LPC, JD, LMSW, NCC)
I'm interest in being a:
- Mentee
- Mentor
Select your role:
- Non-Clinical Case Manager
- Clinical Case Manager
- Hybrid
If you are a hybrid Case Manager, please indicate which type of CM you'd prefer to be matched with if other hybrid CMs are not available for matching:
- Non-Clinical Case Manager
- Clinical Case Manager
How many years of experience do you have as a Higher Education Case Manager?
How long have you been a member of HECMA?
Do you have a particular mentor or mentee with whom you would like to be paired? If so, please list here:
Please share any areas of specific responsibility, expertise, and/or interest that you have. (ex. mental health, homelessness, food insecurity, autism spectrum disorders, survivor advocacy, veterans, Title IX, etc.)
Please tell us a little bit about your HECM experience and/or your future career goals:
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Have you served as a mentor before?
- Yes
- No
How can the Leadership team support you as a mentor?
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As a mentee, what are your primary needs/goals/areas of concern or interest?

Mentorship Application