What’s up, welcome to the Peerhood member intake survey!
Hi! Thank you for considering applying to become a Peerhood Member. Please answer all questions in detail. All information will be confidential and not distributed.
First Name
Last Name
Phone Number
What are your preferred pronouns?
What is your email?
How did you hear about us?
When’s your birthday? MM/YY
What is your age?
What is your address?
Rep your set! What Chapter are you applying for?
Now tell us where you’re from? e.g., Philly, Dominican Republic, Eritrea
Race/Ethnicity? e.g., Black, South-Asian, Hispanic
What Company do you work for?
What is your job title?
What is your current job field?
How long have you been a working professional?
Drop your LinkedIn Profile below!
What is your preferred social media platform?
How often can you meet with your peerhood members?
When is your preferred meeting time?
What day of the week works best for you?
How do you like to ingest information?
Which of the following do you relate to the most?
How do you like to get to know someone new?
What do you think makes for a great mentor?
What are you looking to get out of a mentorship group?
What has been the hardest thing about finding a mentor?
How do you plan to provide mentorship to your peerhood members?
What are you most proud of in your career journey?
What has been the biggest challenge in your career journey?
What are your greatest skills?
What career topics are you most interested in?
What skills would you like to cultivate?
Anything else you would like for us to know?