Foundry Mentor Application

Best to complete on personal device, not government computer.

First Name *

Last Name *

Active Duty Service Date (Click on the Year or Month directly to quickly choose) *

Military Branch *

Rank *

Warfare Primary (Navy Only - All others select None )

Warfare Secondary (Navy Only - All others select None )

How to list your name for the graduation certificate *

Command Name *

Command Location (City,State/Country) *

Component *

Primary Job Title *

Personal Email (applicants with military email in this block will be excluded) Please Check Spam & Junk folders just in case. *

Personal Cell Phone *

Work Phone *

Work Email Address *

Date of Rank (Click on the Year or Month directly to quickly choose) *

CMC/SEL Name *

CMC/SEL Email Address *

How do you motivate others? *

Share about your biggest leadership failure or regret? *

Education level (just a data point) *

How did you FIRST hear about this course? *

Gender

This is an application only! The class will take place March 29-April 3, 0700-1700 Pacific Standard Time zone. All sessions take place over Zoom. I understand that if selected, $109 fee is required for materials. I also understand that I must be TAD/TDY or on leave for the entire class period. Sunday, October 19 will be 90 minute introductions that I will take part it. And, as a Mentor, I understand more will be needed for several weeks before class to virtually meet and get to know the students I will be overseeing.

I understand and agree to the above.

I agree to receive Marketing & Class Update related SMS & Emails From Enlisted Leadership Foundation. *

I understand and agree to the above