2024 WQA Mentorship Program
Mentor Sign-Up Form

Grow Your Perspective, Network, and Impact

Mentors must be employed by a WQA member company.

The WQA Mentorship Program offers two mentorship styles:

(1) Traditional one-on-one mentorship, pairing a mentee with their own mentor

(2) Group mentoring, small group of mentees (3-4) with a mentor facilitator for the discussion

The program is four months, from September 2024 - December 2024. Each month, participants join two 1-hour virtual meetings, with 30 to 40 minutes set aside, in the meeting, for mentors to meet with their individual mentees or mentoring group. (Note, the program only meets once in December. Meetings will fall between 10:00AM-4:00PM Central Time with the finalized time based on participant availability)

Question Title

* Contact & Background Information

Name

Phone Number

Company Name

Current Job Title

Professional Certifications

Years in the Water Industry

Question Title

* Help the mentees get to know you better.
Briefly describe what you do and how you engage with the broader industry.

Question Title

* Program Time Commitment

The WQA Mentorship Program hosts two 60-minute meetings each month, September through December. Only meeting once in December. Meetings are held virtually using the Zoom platform. During these meetings time will be set aside for one-one-one pairings and for groups to meet. At present, do you feel able to meet this time commitment?

Yes

Question Title

* There is an expectation of mentees and mentors to register and attend the 2024 WQA Mid-Year Leadership Conference, September 17-19, 2024, at the Westin O’Hare located in Rosemont, Illinois. Our inaugural meeting (Industry 101) will take place in person at the conference. Assuming your schedule allows, are you able to attend one or both of these in-person events?

Yes

Maybe

Question Title

* Goals And Expectations

Which type of mentoring style are you comfortable being in as a mentor? You can select both if you do not have a preference.

One-on-One (traditional mentee-mentor matched relationship)

Group Mentoring (discussion facilitator with a small group of 3-4 mentees together)

Question Title

* Select specific areas of focus identified in the WQA Mentorship Program that are your strengths and to which you feel comfortable mentoring to. (Select at least one area)

Expand my network with other WQA members

Leadership development

Interpersonal skills

Understanding the industry/industry knowledge

Other, please explain

Question Title

* Provide examples of how you embody the skills, qualities, and attributes of the topics you selected above.

Question Title

* What happens outside the office? Select up to 3 options below.

I hope to travel the world

I push to get out of my comfort zone

I am a parent

I am an eternal volunteer

My spirit animal is a night owl

I wake up early to see the sunrise

Constant learner

Coffee is my fuel

Sports fan over here

Resource guru

Bookworm

I always have music playing

I go off script in the kitchen

I am a huge pet person

Other (please specify)

Question Title

* What are your expectations for your mentee(s)?

Question Title

* What are your expectations for WQA staff?

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* Mentor Attestation Form

As a WQA mentor, it is imperative that you read and understand a set of key documents. The WQA Mentorship Program coordinators are available to help answer questions as needed. For immediate questions, contact Tambra Thomas WQA Quality Director at tthomas@wqa.org.

Check the box to indicate acceptance of the following (don't fill out the linked document):
I acknowledge that I have read and understand the contents of the items identified as Key Documents.
To request a copy of any key documents not hyperlinked in the PDF email csettler@wqa.org.

Check the box to indicate acceptance of the following (don't fill out the linked document):
I have read and understand the WQA Volunteer Release Form.
If you have any questions, please email tthomas@wqa.org.

2024 WQA Mentorship ProgramMentor Sign-Up Form

Grow Your Perspective, Network, and Impact

Question Title

* Contact & Background Information

Question Title

* Help the mentees get to know you better. Briefly describe what you do and how you engage with the broader industry.

Question Title

Question Title

Question Title

* Goals And ExpectationsWhich type of mentoring style are you comfortable being in as a mentor? You can select both if you do not have a preference.

Question Title

* Select specific areas of focus identified in the WQA Mentorship Program that are your strengths and to which you feel comfortable mentoring to. (Select at least one area)

Question Title

* Provide examples of how you embody the skills, qualities, and attributes of the topics you selected above.

Question Title

* What happens outside the office? Select up to 3 options below.

Question Title

* What are your expectations for your mentee(s)?

Question Title

* What are your expectations for WQA staff?

Question Title

* Mentor Attestation FormAs a WQA mentor, it is imperative that you read and understand a set of key documents. The WQA Mentorship Program coordinators are available to help answer questions as needed. For immediate questions, contact Tambra Thomas WQA Quality Director at tthomas@wqa.org.

2024 WQA Mentorship Program
Mentor Sign-Up Form

* Help the mentees get to know you better.
Briefly describe what you do and how you engage with the broader industry.

* Goals And Expectations

Which type of mentoring style are you comfortable being in as a mentor? You can select both if you do not have a preference.

* Mentor Attestation Form

As a WQA mentor, it is imperative that you read and understand a set of key documents. The WQA Mentorship Program coordinators are available to help answer questions as needed. For immediate questions, contact Tambra Thomas WQA Quality Director at tthomas@wqa.org.