2017 WIA Bay Area Mentor Application Form Please fill out the form below completely. Contact WIA with any further questions. Thank you! CONTACT INFO Name * Email * Phone * LOCATION Do you live or work in the greater Bay Area? Yes No City Zip Note: Bay Area based mentees will be expected to make the drive to meet with their mentors – so we need to let them know approximate time/mileage involved to meet near your location.) WORK HISTORY How long have you worked in the animation industry? Are you currently working in the animation industry? Yes No If so, freelance or on staff? Freelance Staff If on staff, name of company you work for? MENTORSHIP PROGRAM GOALS What is your area of expertise or professional passion that you hope to share with a mentee? (For example –“Help her improve her portfolio for freelance assignments” “Share my expertise in international co-production financing” “Provide general career guidance”) words. Please limit to 100 words or less. What level of industry experience, specific skills or expertise would you prefer your mentee to have? words. Please limit to 100 words or less. ANY QUESTIONS Have you read Basic Information for Mentor Applicants? Yes No Do you have any questions or concerns that we can answer prior to matching you with a mentee? words. Please limit to 100 words or less. * Please make sure you have filled out the form completely before clicking on the submit button below.