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2. Name*
3. Mentor or Mentee*

   1. I am the Mentor
   2. I am the Mentee
   3. I am both a Mentor and Mentee
5. How often do you meet up (virtually) with your mentee/mentor?*
7. Has the program added value to you? … to your role in your organization? … to your membership in 3CMA? … If so, how?
9. How has 3CMA CONNECT impacted you?
11. Have you met your mentor/mentee in person?*

    1. Yes
    2. No
12. Do you plan to attend the 3CMA Annual conference? *

    1. Yes
    2. No
14. If so, would you be interested in a 3CMA CONNECT breakfast roundtable??

    1. Yes
    2. No
16. What changes would you like to see made to the CONNECT program?
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17. 1. Receive an email copy of this form.
18. Email address

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19. Submit

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