Mentee First Name *

Mentee Last Name *

Mentee Email *

Mentee Phone *

Mentee Business Name *

Is this an existing business? *

YES

Is your business family owned, or inherited? *

No
Family Owned Business
Inherited Business
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Why do you feel the need to be mentored? *

What do you want to get out of being mentored? *

Are you the owner, or manager? *

Owner
Manager
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Do you have the final say on decision making, and directing the business? *

YES

If no, will the owner be involved, and approve?

YES
NO
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Where do you see the business in a year from now, in 5 years from now? *

Where do you see yourself in a year from now, in 5 years from now? *

What are your short-term goals for the company? *

What are your long-term goals for the company? *

Are you willing to donate the time and money required for this program? *

YES

Are you committed to doing what is advised by your mentor in a timely manner? *

YES

Will you be able to visit your mentor’s, or other recyclers’ facilities to see and experience their business practices and procedures? *

YES

Are you willing to supply your financials, which will be kept confidential, to your mentor to help with your assessment? *

YES

Would you share your mentoring experiences with others and provide a testimonial to help promote the Peer-to-Peer Mentoring Program? *

YES
NO
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By checking this box, I consent to receive account-related communications, including transactional updates, appointment reminders, order details, event details, special offers, newsletters and other marketing promotions, and discounts. Message frequency may vary. Msg & data rates may apply. Reply HELP for help or STOP to opt out.

If you have any questions, you can contact:

Jessica Andrews [email protected]

Automotive Recyclers Association

9113 Church Street, Suite 200,

Manassas, VA 20110-5456 USA

(571) 208-0428