Superwoman Society Mentee Application

Thank you for your interest in the Superwoman Society mentorship program! As a mentee, you will be paired with a mentor who has navigated similar challenges and can provide support, guidance, and personalized strategies to help you succeed. Please fill out the following application to help us match you with the right mentor.

Personal Information

First name

Last name

Email

Phone

Location (City, State)

Occupation/School

Linkedin Profile or Personal Site (optional)

ADHD Experience

When were you diagnosed with ADHD (if applicable)?

How does ADHD affect your daily life?

What areas of ADHD management do you find most challenging?

Have you received any support or resources for managing your ADHD in the past?

Mentorship Preferences

Why are you interested in joining the Superwoman Society mentorship program?

What specific areas do you want guidance in?

Personal Life Management (self-care, relationships, family, etc.)

Academic Success (study skills, time management, transitioning to college)

Career Development (navigating the workplace, professional skills)

Emotional Well-Being (coping mechanisms, stress management)

Advocacy (self-advocacy at work or school, requesting accommodations)

Other

What are your current goals (personal, academic, or professional)?

What qualities are you looking for in a mentor?

What do you hope to gain from the mentor-mentee relationship?

Do you have a preferred age group or life stage for your mentor?

How much time can you commit to the mentorship program?

1-2 hours per month

3-5 hours per month

6-8 hours per month

Other

Additional Information

Is there anything else you’d like us to know about you?

Do you have any accessibility needs or accommodations we should be aware of?

Agreement and Commitment:

Thank you for your interest in becoming a mentee with the Superwoman Society! By completing this application, you confirm your commitment to being open, communicative, and respectful in your relationship with your mentor. You understand that this program is designed to help you grow, develop strategies for managing ADHD, and achieve your professional goals.

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Date

Month

Day

Year