2010-2011
H&HS Mentoring Program Application form
Application Deadline: August 6, 2010
Your application should include this completed form and your current résumé, if you have one. Name: _____________________________________________________________________ Date: ____________________ Department: _________________________________________________________ Location: ______________________ Current Classification/Position: __________________________________________________________________________ Work Phone: _____________________ Home Phone: ______________________ E-mail: _________________________ How did you hear about the Mentoring Program? ___________________________________________________________ Supervisor’s Name: ____________________________________________ Supervisor’s Phone: _____________________ Supervisor’s Signature: _________________________________________________________________________________ (Supervisor: You will be receiving a Supervisor Assessment Form via e-mail to complete for this applicant.)
Please choose one of the following areas in which you would like to be mentored: □ □ □ □ □
Accounting Administrative Services Dining, Catering & Advanced Culinary Skills Guest Relations & Building Operations Housekeeping Services
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Human Resources Maintenance Services Residential Life Sales, Marketing & Customer Service
Please answer the following questions as completely and thoroughly as possible. If necessary, use additional sheets to complete your answers. 1) What are your career goals within Housing & Hospitality Services?
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2) How do you think the Mentoring Program can help you reach your goals?
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3) What are your best personal and professional qualities?
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4) What skills do you want to improve upon?
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5) Describe what you have done to improve your skills, including school, training, professional associations, volunteer work, community service, or other activities.
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6) How will your joining this program make you a better team member in H&HS?
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Please submit your completed H&HS Mentoring Program application by Friday, August 6, 2010 to: UCLA H&HS Mentoring Program Angela Marciano, Mentoring Program Coordinator and Director Organizational Planning, Performance & Development, Housing Administration Campus Mail Code: 136707 360 De Neve Drive Los Angeles, CA 90095-1367 You will be contacted by September 1, 2010 regarding the status of your application. If you have any questions about the H&HS Mentoring Program before you submit your application, please contact Angela Marciano at (310) 206-4455 or amarciano@ha.ucla.edu. 6/10