2027 Disability:IN NextGen Leaders Corporate Partner Mentor Application

2027 Disability:IN NextGen Leaders Corporate Partner Mentor Application

Application Instructions

Thank you for your interest in serving as a mentor for Disability:IN’s 2027 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 assignment process to ensure that NextGen Leaders are assigned with mentors who share common backgrounds and professional experiences.

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

Eligibility:

Mentor applicants must meet the following requirements:

Salaried (exempt) employee of a Disability:IN Corporate Partner based in the United States, Canada, or Central or South America.
Fluent in written and verbal English for the purpose of effective professional communication.
Able to commit 2-3 hours per month from January-July 2027 to meet virtually twice monthly with your mentee and attend a monthly mentor webinar.

This online application must be completed by 11:59 p.m. Eastern on Friday, January 15, 2027.

All applicants will be notified of their program participation status by late January 2027, at which time those applicants who were assigned 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 might be used to aid in the mentor/mentee assignment process.

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. Can you commit, including having the support of your employer, 2-3 hours per month from January - July 2027 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 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

1a. First Name:

1b. Last Name:

1c. Company/Organization:

1d. Job Title:

1e. Work Email:

1f. Phone:

1g. State (if applicable):

1h. Country:

2a. Other (please specify):

Education

3a. Other (please specify):

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

4a. Degree & College Attended:

4b. Degree & College Attended:

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:

8. *What is your gender?

FemaleMaleNonbinaryPrefer not to disclose

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

YesNoPrefer not to disclose

10. Have you participated in our program as a NextGen Leader mentee?

YesNo

10a. Please specify which year you participated as a NextGen Leader mentee:

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

YesNo

11a. Please specify which year(s) you participated as a NextGen mentor:

Program Questions

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

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

14. 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. (The program runs from January – July 2027. 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, directors, 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 2027 NextGen Mentor! You will be contacted via email by Friday, January 22, about the next steps.

Please hold January 28 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