Thank you. 🌟

Name *

First Name

Last Name

For this program, I was a *

Mentee

Mentor

Overall, would you consider this a successful mentorship program? *

You'll have the opportunity to expand on your answer below.

Yes

No

Did you achieve at least 1 goal with your match? *

Yes

No

Partially

Do we have your permission to add you to our website as a former GEM Participant? *

Yes, you have my permission.

No

If you'd like a gift from us, which color speaks to you most?

Blue

Purple

A bit of both (multi-color)