Please express your interest in being a mentor:*
 
 
 
 
Do you have previous mentor experience*
 
 
 
 
First name
 
 
 
 
Last name
 
 
 
 
Gender
 
 
 
 
Email
 
 
 
 
Business or preferred contact number
 
 
 
 
Mobile number: (include area/country code)
 
 
 
 
Are you currently employed?
 
 
 
 
Employer
 
 
 
 
Job Title
 
 
 
 
Job level
 
 
 
 
 
 
 
Mentor and Mentee Registration Forms: 
 
 
USB Country
 
 
 
 
Province
 
 
 
 
City
 
 
 
 
 
 
 
Mentor and Mentee Registration Forms: 
 
 
Email
 
 
 
 
WhatsApp
 
 
 
 
Telephone
 
 
 
 
Skype
 
 
 
 
Face-to-face
 
 
 
 
 
 
 
How much time are you able to commit?
 
 
 
 
 
 
 
Which industry have you worked in or do you have strong knowledge about? 
 
 
Automobiles & Components (auto components, automobiles):
 
 
 
 
Capital Goods (aerospace & defence, building products, construction & engineering, electrical equipment, industrial conglomerates, machinery, trading companies & distributors)
 
 
 
 
Commercial & Professional Services (commercial services & supplies, professional services, consulting services):
 
 
 
 
Consumer Durables & Apparel (household durables -furniture/ building appliances/ houseware, leisure products & apparel, textiles & apparel - footwear & luxury goods):
 
 
 
 
Consumer Services (hotel, restaurants, leisure, diversified consumer services):
 
 
 
 
Consumer Staples (food, drug, beverages, tobacco, household and personal products):
 
 
 
 
Energy (oil, gas, coal & consumable fuels - equipment/ services/ exploration/ production/ storage/ transportation):
 
 
 
 
Financials (banks, diversified financials - multi sector, specialised, consumer finance, capital markets-investments, brokerage, asset management, fin. Exchanges, Mortgage Real Estate investment trusts):
 
 
 
 
Health Care (equipment, services, pharmaceuticals, biotechnology, life sciences tools and services):
 
 
 
 
Information Technology (internet software & services, hardware & equipment, semiconductors & semiconductors equipment):
 
 
 
 
Materials (chemicals, construction materials, containers & packaging, metals & minerals, paper & forest products):
 
 
 
 
Media (advertising, broadcasting, cable & satellite, movies & entertainment, publishing):
 
 
 
 
Retail (distributors, internet &direct marketing retail, multiline retail - apparel and general merchandice, speciality retial - speciality automotive and furnishing):
 
 
 
 
Telecommunication Services (diversified telecommunications, wireless telecommunication services):
 
 
 
 
Transportation (air freight & logistics, airlines, marine, road & rail, transportation infrastructure, auto components, automobiles):
 
 
 
 
Utilities (electric, gas, multi-, water, independent power and renewable electricity producers):
 
 
 
 
 
 
 
Which specific career field(s) have you worked in or have strong knowledge about: 
 
 
Agriculture, Food & Natural Resources:
 
 
 
 
Architecture & Construction:
 
 
 
 
Arts, A/V Technology & Communication:
 
 
 
 
Business Management & Administration:
 
 
 
 
Education & Training:
 
 
 
 
Finance:
 
 
 
 
Government & Public Administration
 
 
 
 
Health Sciences:
 
 
 
 
Hospitality & Tourism:
 
 
 
 
Human Services & Resources:
 
 
 
 
Information Technology:
 
 
 
 
Law, Public Safety, Corrections & Security:
 
 
 
 
Manufacturing:
 
 
 
 
Marketing Sales & Services:
 
 
 
 
Science, Technology, Engineering & Mathematics:
 
 
 
 
Transportation, Distribution & Logistics:
 
 
 
 
 
 
 
What was your study programme at USB? 
 
 
Business Management & Administration
 
 
 
 
Development Finance
 
 
 
 
Financial Planning
 
 
 
 
Future Studies
 
 
 
 
Management Coaching
 
 
 
 
Leadership Development
 
 
 
 
Project Management
 
 
 
 
Small Business Academy
 
 
 
 
USB Executive Education