Next Generation Mentoring Program

Cobb Young Professionals
Next Generation Mentoring Program Application

The Next Generation Mentoring Program consists of face-to-face meetings and events throughout the program year, including discussions to set and track goals. Mentors will provide young professional participants with expertise and insight needed to grow successfully in their career, while helping develop and achieve personal goals.

Attendance at all program events and meetings is mandatory for maximum involvement. The time commitment is for eight one-on-one sessions (date and time to be determined with mentors) during the program year, as well as five program dates:

Oct. 20, 2022: Pairing Party, 5:30 to 7:30 p.m.
Nov. 10, 2022: Orientation, 11 a.m. to 1 p.m.
Jan. 24, 2023: Mentee Roundtable 11:30 a.m. to 12:30 p.m.
March 2, 2023: Mid-Program Social, 5:30 to 7:30 p.m.
May 11, 2023: Wrap Up Party, 5:30 to 7:30 p.m.

A tuition fee is required to cover materials, monthly program expenses and events. Often employers are pleased to pay part or all of the tuition for such a program as this. If selected for participation, a non-refundable participation fee of $650 is due by October 3, 2022.

There are limited, needs-based financial assistance funds available, covering up to $650 of the program tuition. Applicants who would like to be considered for financial assistance should email Rebecca Chadwick at rchadwick@cobbchamber.org to request an application. Your request for consideration will be held in the utmost confidence, and will in no way affect the selection process.

The deadline to apply for financial assistance is Friday, August 26, 2022 (in addition to your Next Generation Mentoring Program application.)

All applicants or their companies must be members of the Cobb Chamber of Commerce.

NOTE: Letters of recommendation will not be considered by the Next Generation Mentoring Program Selection Committee and should not be submitted.

Please download the Commitment Form which requires approval from your employer.

All applications must be submitted by Friday, August 26, 2022.

*NOTE: When inputting phone numbers, please exclude all dashes, parenthesis and spaces.

I. BASIC INFORMATION

Last Name:

First Name:

Middle Name:

Name Called:

Title/Position:

Present Employer:

Business Mailing Address:

Business Mailing City:

Business Mailing Zip Code:

Business Phone:

Mobile Phone:

Email Address:

Home Address:

Home City:

Home Zip:

Date of Birth:

Sex:

Race:

Would you prefer a male or female mentor?

Why do you want to participate in the Next Generation Mentoring Program?
(limit response to 200 words or fewer)

Please list 3 career-focused goals you would like to address during the mentoring program.
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2.
3.

II. PRESENT EMPLOYMENT

Present Company:

Present Title or Position:

Briefly describe your responsibilities in your position: (limit response to 200 words or fewer)

What do you consider your most significant contribution or achievement related to your position or company so far? (limit response to 200 words or fewer)

Employment Record (Current and past)

List most recent position first.

Employer		Title

Period of Service
to
Employer		Title

Period of Service
to
Employer		Title

Period of Service
to
Employer		Title

Period of Service
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IV. COMMUNITY & CIVIC INVOLVEMENT

Include civic, religious, political, government, social, athletic or other activities. Indicate major role in the organization(s) at this time. Do not include business/professional activities.

V. BACKGROUND INFORMATION

Education Background

High School:

College:

Degree(s):

Graduate School:

Degree(s):

Other training, occupational/professional certificates or licensure (200 word limit):

Please click submit only one time. The transaction may take several seconds.

For questions please contact Rebecca Chadwick at 770-859-2353 or rchadwick@cobbchamber.org.