First name*
Last name*
Number of years of professional experience*
Less than 5 years 5-10 years 11-14 years 15-20 years 20 and more.
Size of the team you are managing*
I do not manage any team Up to 10 people 11-50 people 51-100 people 100 and more.
Number of years of team management in a managerial role*
Less than 5 years 5-10 years 11-14 years 15-20 years 20 and more.
Educational background*
Post-graduate Graduate BA
Company/ type of business*
Sole trader Family business SME Startup Corporation Public administration body Foundations/ NGOs Partnerships/ corporations/ state treasury companies Schools (colleges)/ R&D institutions Other
Other
Company name*
Sector*
-- select -- Administration Market research Banking services Investment sector Coaching / Mentoring / Training Business advisory / transaction advisory/ consulting services IT support Tax advice Energy Pharmaceuticals FMCG Restaurants/ catering HR Civil engineering Transport and logistics Science and research Real estate Healthcare services Industry Advertising and marketing Robotics Public services University education Digital technologies / IT Telecommunications Insurance Digital services Financial services Healthcare services Legal assistance services Management Other
Other
Title/ position*
-- select -- CEO Director Management Board member Partner Senior Specialist Specialist Supervisor/ Coordinator Manager Junior Specialist (Junior) Other
Other
Unit/ division*
-- select -- Management/ Executives Administration and HR Accounting and finance Sales Advertising and marketing Legal IT Front-desk Other
Other
Size of business*
Up to 10 people 11-50 people 51-100 people 101-500 people Over 500 people.
E-mail address*
Telephone number* (please use your country code)
LinkedIn link
City*
CV (DOC or PDF format)* (choose a file)
How did you learn about the Women Leadership in Business Foundation Mentoring Program?*
THINKTANK Newsletter Mailing of the Women Leadership in Business Foundation Website of the Women Leadership in Business Foundation Social media (Facebook, Linkedin) Communication/ newsletter ABSL From the Mentor: (enter full name below) From the Mentee: (enter full name below) Others: (provide source below)
Other
Type of membership*
Private (fees paid by the Mentee)
Organization (participation fees paid by the Mentee’s organization/ employer)
What are the development areas you would like to attend in the Mentoring Program?* (please tick up to 5 boxes)*
Leadership growth area
Leadership competencies in a strategic area
Leadership competencies in an operational area
Building your position in the organization
Supporting other people’s growth
Leading in an international environment
Building your own business
Building a professional network of business relationships
Managerial/ leadership competencies
Enhancing dispute resolution competencies
Effective delegation of tasks and making sure that goals are achieved
Developing and implementing a culture of feedback and feedforward
Change management
Project management
Team-building and driving employee motivation
Building trust and a culture of accountability
Developing and implementing innovative solutions
Inspiring presentation of visions and choice of arguments
Developing influence effectiveness skills
Development of communication skills
Intrapersonal skills
Improved self-confidence in a leadership or managerial role
Emotions management
Building your own image
Striking a healthy work-life balance
Creating a vision and mission for your professional life
What is your motivation and your expectations of the mentoring process?*
What do you expect from your Mentor? What knowledge/ abilities/ traits should a Mentor have?*
Please provide your three key short-term professional goals to be achieved within the next 12 months*
Please provide your three key long-term professional goals to be achieved within the next 3 years*
What are your interests and hobbies?*
I voluntarily give consent to my personal data being processed for the purpose of candidate matching and participation in the Mentoring Program and the Women Leadership in Business Foundation Mentee Club and to contact me via email and by phone for this purpose.*
I voluntarily give consent to my personal data being processed for direct marketing purposes by the Women Leadership in Business Foundation (updating me on ongoing projects, research, meetings and workshops) and contacting me via email and by phone for this purpose.
I acknowledge and agree that:
The controller of my personal data is the Women Leadership in Business Foundation, ul. Ogrodowa 58, 00-876 Warszawa.
The Data Protection Officer is Jarosław Kępski, email address: iod@liderkibiznesu.pl.
The legal basis for processing my personal data I provided in the registration form is my voluntary consent given above to my personal data being processed for the purpose stated above.
The recipients of my personal data will be persons and assistants supporting the Women Leadership in Business Foundation to realize its goals.
My personal data will be processed by the controller until I request that my data be erased unless other provisions of law require otherwise.
I have a right to access and rectify my personal data and request a copy of my personal data.
I have a right to request that the processing of my data be limited.
I have a right to request that my personal data be erased.
I have a right to request that my personal data be transferred.
I have a right to file a complaint to a supervisory authority (Director of the Personal Data Protection Office, ul. Stawki 2, 00-193 Warszawa).
I acknowledge that participation in the Mentoring Program of the Women Leadership in Business Foundation involves an administrative fee and in the case of qualification for the program, I undertake to pay it in the amount of*:
PLN 2,590.00 net (PLN 3,185.70 gross) for private attendees;
PLN 4,090.00 net (PLN 5,030. 70 gross) / 1 person, for people nominated by their organizations/ employers, which pay Mentee’s attendance fee;
PLN 3,690.00 net (PLN 4,538.70 gross) / 1 person for organization that nominate at least 3 Mentees - we offer 10% discount.
I have read and express my acceptance of the Rules of the 9th Mentoring Program .*
I ACCEPT THE TERMS, SUBMIT"
Please select from 1 up to max 5 boxes