Mentee Sign Up Form

We are so excited that you are interested in finding a mentor. Once you hit SUBMIT at the bottom of this page, you will be directed to fill out a questionnaire (your Profile). Your Profile Form must be completed to start the process. Please click through to the end of the questions to finalize your profile.

If your company has a strong firewall, we highly recommend using your personal email address.

If you have a question at any time, please contact us via email:

In Birmingham/Central Alabama? Email: Darla Morrison
In Huntsville/North Alabama? Email: Amy Gandy

Membership Information

First Name *

Last Name *

Email *

Phone *

Location

How did you hear about Momentum's Mentoring Program? *

Participation in the Mentoring Program, and other related activities, constitutes an agreement by the Mentor and Mentee to permit Momentum to use and distribute (both now and in the future) the participant's image and voice in photographs, electronice reproductions, quotes and written feedback, organization identification, or audio formats in our publications, on our website, and in social media or any third party publication.

I accept the Terms and Conditions