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2. 3CMA Member*

   Note: You must be a 3CMA Member in order to qualify for the Connect Mentorship Program.

   1. Yes
   2. No
4. First Name*
5. Last Name*
7. Title*
8. Jurisdiction*
10. City*
11. State*
13. Email*
14. LinkedIn URL
16. Work Phone*
17. Cell Phone
19. Would you like to be a:*

    1. Mentor
    2. Mentee
    3. Both
20. Please describe your job duties:*
22. 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)
24. Strategic communication

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    1. One of my strengths
    2. Looking for growth
57. Other strengths (as a mentor)
59. Other areas where I’d like to grow (as a mentee)
61. What is the #1 thing you’d like to get out of being a mentor (if applicable)
63. What is the #1 thing you’d like to get out of being a mentee (if applicable)
65. What are three things you like to do outside of work that bring you joy
67. 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
Leave This Blank:


68. Submit

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