APPLY TO BE A SERICA MENTOR!

We are always looking for exceptional AAPI leaders who are looking to give back and support the emerging AAPI women leaders! If this is you, please complete the following application form and someone will follow up with you shortly.

Do you live within the tri-state area with easy access to NYC for attending in-person events? If your response is No, we request that you not continue with this application at this time. We hope to expand our programming in coming years.

Yes

No

First name

Last name

Email

Cell Phone #

How did you find out about this program?

Pronouns

she/her

he/him

they/them

any neopronouns

Current Role *

Current Organization*

Which of the following best describes your sector?

Corporate

Non-Profit

Entrepreneur

Short Bio (< 100)