2017 MENTEE APPLICATION FORM - BAY AREA Please fill out the form completely and accurately. Contact WIA with any questions. AREA OF INTEREST Please select area of interest: Artistic Career:Animation, Story or Art, or Production Management Technical Career: Systems or Software Engineering, or Technical Director Artistic Career Technical Career CONTACT INFO Name * Email * Phone * LOCATION Do you live in the Bay Area? Yes No City Zip How far would you be willing to drive to meet with your mentor? 5 Miles 10 Miles 15 Miles 20 Miles Greater than 20 Miles 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? Does your company offer mentoring or professional development programs? Yes No Have you applied for and/or participated in any other mentorship programs previously? Yes No Briefly describe your current work experience: words. Please limit to 100 words or less. PROFESSIONAL GOALS & OBJECTIVES What is your five-year goal for your career in the animation industry? words. Please limit to 100 words or less. What do you perceive as the biggest challenges to achieving these goals? words. Please limit to 100 words or less. MENTORSHIP PROGRAM GOALS What are you hoping to gain from participating in the WIA mentorship program? (For example – “Improve my portfolio for freelance assignments” or “Gain a working knowledge of animation production budgets”) words. Please limit to 100 words or less. WIA PARTICIPATION Are you currently involved in WIA as a committee member or volunteer? Yes No Have you attended WIA mixers, panels or other events? Yes No How will your participation in the mentorship program further the mission of Women in Animation? words. Please limit to 100 words or less. MISCELLANEOUS Are you specifically looking for a female mentor? Yes No Are you amenable to being paired with a male mentor? Yes No LINKS Artist applicants please provide a link to your online portfolio here: All applicants, you may provide a link to your professional website or online resume (IMDB, LinkedIn, etc.) here: EDUCATION Please list relevant degrees, certificates and/or training here: * Please make sure you have filled out the form completely before clicking on the submit button below.