WEST Scholarship Application

Name *

First Name

Last Name

Years of Professional Experience in Your Technical Role *

1-5 years

6-10 years

11-15 years

15+ years

Have you asked your company to sponsor you? *

Mentees are often able to request reimbursement for this professional development opportunity. Here is a customizable letter template for you to use: https://app.box.com/notes/239631631528?s=h3149wr8wg4bw3o9cav347lo7jkhhwjb

Yes, and they said no.

No, not yet.

I own my business.

I need help convincing my manager.

I'm a recent college graduate.

I'm currently unemployed.

Have you participated in the WEST mentorship program before? *

Yes, as a mentee.

Yes, as a mentor.

Yes, as both a mentee and a mentor.

No, I have not.

What is your race/ethnicity? (Check all that apply.) *

Black/African-American

Latinx

Asian

Indigenous/Native American

Middle Eastern

White

I prefer to self-describe*

I choose not to disclose

What is your gender identity? *

Woman

Man

Non-Binary/Gender-Nonconforming

I choose not to disclose

I prefer to self-describe*

I also identify as: (Check all that apply.) *

A Parent/Guardian

A member of the LGBTQ+ community

Disabled

A Veteran

An immigrant or Refugee

I prefer to self-describe*

I choose not to disclose

Would you be able to commit to six months of mentorship once matched with your mentor starting this month? *

Yes

No

Development Options *

Which are your top three development areas you would like to work on with your mentor?

Career Planning

Communications

Time Management/Delegation

Change Management

Tactical to Strategic Thinking

Risk-Taking

Personal Brand

Managing Up

Influence

Managing Conflict

Executive Presence

Shift from tech to business role

Team Development

Political Savvy