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2. First Name*
3. Last Name*
5. Title*
6. Jurisdiction*
8. City*
9. State*
11. Email*
12. LinkedIn URL
14. Work Phone*
15. Cell Phone
17. Would you like to be a:*

    1. Mentor
    2. Mentee
    3. Both
18. Please describe your job duties:*
20. Work Area
    Please select each of the following in terms of your areas of expertise (for those who want to be mentors) and areas where you’d like to grow your skills (for those who want to be a mentee)
22. Strategic communication

    1. One of my strengths
    2. Looking for growth
23. Getting a seat at the leadership table

    1. One of my strengths
    2. Looking for growth
25. Writing a communication plan

    1. One of my strengths
    2. Looking for growth
26. Writing a crisis communication plan

    1. One of my strengths
    2. Looking for growth
28. Effectively utilizing social media

    1. One of my strengths
    2. Looking for growth
29. Social media advertising

    1. One of my strengths
    2. Looking for growth
31. Using video for effective communication

    1. One of my strengths
    2. Looking for growth
32. Video production

    1. One of my strengths
    2. Looking for growth
34. Website development/management

    1. One of my strengths
    2. Looking for growth
35. Communicating with elected leaders

    1. One of my strengths
    2. Looking for growth
37. Internal employee communication

    1. One of my strengths
    2. Looking for growth
38. Newsletters/calendars/citizen publications

    1. One of my strengths
    2. Looking for growth
40. Reaching diverse communities

    1. One of my strengths
    2. Looking for growth
41. Relationship with supervisors

    1. One of my strengths
    2. Looking for growth
43. Community events

    1. One of my strengths
    2. Looking for growth
44. Large-scale community projects

    1. One of my strengths
    2. Looking for growth
46. Community planning

    1. One of my strengths
    2. Looking for growth
47. Building community trust

    1. One of my strengths
    2. Looking for growth
49. Workload/stress management

    1. One of my strengths
    2. Looking for growth
50. Managing challenging employees

    1. One of my strengths
    2. Looking for growth
52. Developing a productive team

    1. One of my strengths
    2. Looking for growth
53. Professional growth

    1. One of my strengths
    2. Looking for growth
55. Other strengths (as a mentor)
57. Other areas where I’d like to grow (as a mentee)
59. What is the #1 thing you’d like to get out of being a mentor (if applicable)
61. What is the #1 thing you’d like to get out of being a mentee (if applicable)
63. What are three things you like to do outside of work that bring you joy
65. 3CMA Mentorship Program Code of Ethics*

    Participants in the 3CMA Mentorship Program agree to:
    

    • Treat others within the Mentorship Program with respect.
    • Protect the confidentiality of information shared.
    • Not accept any fees or commissions.
    • Be honest and accountable in all interactions.
    • Recognize the diversity of the Mentorship Program and respect the variety of cultural norms, beliefs, practices, and values it contains.
    • Assist with ideas, feedback, strategies, and support that further the opportunity for citizen engagement, involvement, and interaction that is authentic and a positive representation for local government.

    
    I commit to meet with my mentor/mentee at least once a month and to following the ethical guidelines put forth with this application.

    1. I Agree
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67. Submit

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