Mentor Application

SECTION ONE: GENERAL INFORMATION

Name*

First Last

Phone

Email

Which category does your company fall under?*

Grantee
Grantee/Operator
User
Other

If you answered other to the question above, please specify.

Please specify the Zone type that your organization falls under

Traditional Site Framework (TSF)
Alternative Site Framework (ASF)

Please select the type of zone operations that your company manages (check all that apply)

General Purpose Zone/Magnet Site
Subzone/Usage-Driven Site
Petroleum

SECTION TWO: FTZ EMPLOYMENT INFORMATION

Organization Name*

Industry Type*

Title*

Number of Years in Present Position*

Total Years in the FTZ Field*

Education (Degrees, Diplomas, Certifications)*

Briefly describe your area(s) of international trade and FTZ competency*

Briefly describe your area(s) of international trade and FTZ competency, including but not limited to: law/policy, accounting, customs and international trade compliance, marketing, administration, supply chain, economic development, and FTZ operations. In brief, please describe any current or past experience in the day-to-day operations of the following areas (please include specific products and/or merchandise) Warehouse/Distribution Manufacturing Petroleum Refining Marketing Management Economic Development

SECTION III: MENTOR INFORMATION

Have you participated in a mentoring program before?*

Yes
No

If yes, was it as a

Mentor
Mentee
Both

What are your professional strengths?*

Briefly describe your area(s) of international trade and FTZ competency, including but not limited to: policy, general, customs and international trade compliance, marketing, administration, supply chain, economic development, and FTZ operations.*

What type of mentee would you like to be paired with, e.g. area of work, years of experience, etc. Please be as specific as possible.*

What specifically are you hoping to gain from the NAFTZ Mentoring Program? The more you can articulate your needs and objectives, the better NAFTZ is able to match you with a mentee.*

Describe any additional experience that could be of interest to your mentee:

SECTION FOUR: PROGRAM RULES AND RESPONSIBILITIES

I understand that registering for the NAFTZ Mentoring Program does not necessarily guarantee participation in the mentoring program if NAFTZ cannot make a suitable mentee match. While NAFTZ will work to match me with a suitable mentee for the duration of the program, it cannot guarantee me a mentee. The program is designed to be at least a 12 month commitment. I am able to attend quarterly meetings either by phone or in-person during the duration of the program unless my mentee and I choose an alternative meeting schedule. I understand that the mentee must take ownership and work with me in the arrangement of meeting times and locations. By signing below, you attest to the truthfulness of all information listed on this application. I have read and understood the program’s rules and responsibilities for becoming a mentor. If selected, I will follow the rules of the program and be a dedicated mentor. Any and all information submitted will be treated as confidential and will not be used other than to determine a strong match between mentor and mentee.

Signature (Please carefully read the text above before signing)

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