2025 NextGen Leaders Corporate Partner Mentor Application

2025 NextGen Leaders Corporate Partner Mentor Application

Application Instructions

Thank you for your interest in serving as a mentor for Disability: IN’s 2025 NextGen Leaders Program. Mentorship in this program is reserved for salaried (exempt) North or South America-based employees of Disability:IN Corporate Partner companies only; your response to this application will aid in the matching process to ensure that NextGen Leaders are matched with mentors who share common backgrounds and professional experiences with what they’re seeking for their careers.

Please note: Completing this application is not a guarantee that you will be matched with a NextGen Leader and thus have the opportunity to participate in the program.

For further information, you can view this link which is a recording of our 2025 information session. This link includes the ASL interpreter.

Eligibility:

Mentor applicants must meet the following requirements:

1. Salaried (exempt) employee of a Disability:IN Corporate Partner based in the United States, Canada, or Central or South America

2. Fluent in written and verbal English for the purpose of effective professional communication

3. Able to meet virtually twice monthly with your mentee and attend a monthly mentor webinar from March – September 2025

4. Commit 2-3 hours per month to the program from March – September 2025

Applications must be received by 11:59 p.m. Eastern on Friday, Jan. 24, 2025.

All applicants will be notified of their program participation status the week of March 3, 2025, at which time those applicants who were matched with a mentee will receive an email introducing them to their NextGen Leader.

To learn more about the program or for questions, please visit the NextGen Leaders webpage or contact NextGen@disabilityin.org.

* An asterisk notates a required question or field.

NOTE: Marked (“**”) questions below are asked due to data reporting requirements associated with the program’s funding grant.

Eligibility Questions

1. Are you a salaried (exempt) employee of a Disability:IN Corporate Partner company currently based in North or South America?

YesNo

2. Are you fluent in written and verbal English for the purpose of effective business communication between the Disability:IN team and your matched NextGen Leader mentee if selected for the program?

YesNo

3. Do you have the ability to commit, including having the support of your employer, 2-3 hours per month from March – September 2025 to meet twice monthly with your NextGen Leader and to attend monthly program webinars?

YesNo

You must be able to satisfy and respond “Yes” to all items above to be eligible as a Mentor for the NextGen Leaders Program. If you are unable to or answer “No” to any of these items, you are not currently eligible for the program, and it is recommended that you do not continue completing this application.

Application Questions

1. Contact Information:

1a. First Name:

1b. Last Name:

1c. Company/Organization:

1d. Job Title:

1e. Work Email:

1f. Phone:

1g. State: (if applicable)

1h. Country:

If Other, please specify:

Education

4. Educational Background - List degree(s) and school(s) attended:

Degree & College/University:

Degree & College/University:

Degree & College/University:

Doctoral Degree:

Other (please specify):

Demographics

**7. Are you a person with a disability? (We will not disclose your disability to anyone, including your mentee. Your response may be used confidentially in the matching process.)

YesNoPrefer not to disclose

**7b. Additional Disability Not Listed

**9. With what gender do you identify?

Cisgender female (gender identity corresponds to sex assigned at birth)Cisgender male (gender identity corresponds to sex assigned at birth)Transgender female (gender identity does not correspond to sex assigned at birth)Transgender male (gender identity does not correspond to sex assigned at birth)Genderqueer/Nonbinary (gender identity does not correspond to conventional binary distinctions)Other (please specify)Prefer not to disclose

Other (please specify):

**10. Do you identify as a member of the LGBTQIA+ community?

YesNoPrefer not to disclose

**11. Your preferred gender pronouns. Please check all that apply. (This optional question is asked to ensure program participants are respectfully addressed by their preferred pronouns.)

If Additional Pronouns Not Listed, please specify:

**12. Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or the National Guard?

YesNoPrefer not to disclose

13. Have you previously participated in our program as a NextGen Leader Mentee?

NoYes (please specify which year)

If Yes, please specify which year:

14. Have you been a mentor in the NextGen Leaders Program before?

NoYes (please specify which year)

If Yes, please specify which year:

Program Questions:

1. Please provide the link to your LinkedIn profile. If selected, this will be used to help introduce you to your mentee:

2. Please insert your bio and describe your current job duties. Please submit your bio even if you believe that Disability:IN already has it. (250-500 words):

3. List any volunteer work, personal interests, and/or any special skills you believe would equip you to be a NextGen Mentor.

Please check to agree that you are available to meet with a mentee at least twice a month. (Program runs from March through September 2025. Meetings with your mentee can occur over the phone, text, video chats, and/or email.)

I agree

Acknowledgement

I acknowledge that I meet all of the eligibility requirements for being a NextGen Mentor, and that, even so, submitting my application does not guarantee my acceptance; that all the information being submitted in this form is accurate and complete to the best of my understanding; that I am in good standing with my employer and, if accepted, have the full support of my employer and supervisor to complete all required program tasks; that, if accepted into the program, if I cease to satisfy any of the program eligibility requirements or representations in this Acknowledgement, Disability:IN has the discretion to remove me from the program.

I agree

Release of Liability

In exchange for the opportunity to apply to be considered as a Mentor for the NextGen Leaders Program, I release from all liability, and waive my right to sue, Disability:IN, its employees, officers, volunteers and agents (collectively “Disability:IN”) from any and all claims which may arise, directly or indirectly, from the program application process and its outcomes, including, but not limited to, acceptance into or denial of acceptance into the program, or any other activities or outcomes incidental thereto.

I agree

Thank you for applying to be a 2025 NextGen Mentor. You will be contacted the week of March 3, 2025 about next steps. Please hold March 13 from 12-1 p.m. Eastern for Mentor Orientation. Please visit our website for any additional information or questions or contact NextGen@disabilityin.org.

Contact Information