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User Name:
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First Name:
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Middle Name:
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Last Name:
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Password:
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Confirm Password:
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Email Address:
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Primary Telephone Number:
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Cell/Mobile:
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If possible, I would like to be matched with someone who identifies with the same gender.
<Not Specified>
Yes
Gender
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Female
Male
Transgender
Non-Binary
Do not wish to provide
Gender is required
If possible I would like to be matched with someone of my own ethnicity.
<Not Specified>
Yes
Ethnicity
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Asian/Pacific Islander
Black/African American
Do not wish to provide
Latinx/Hispanic
Multi-Cultural
Native American
White/Caucasian
If available do you wish to be matched on function?
<Not Specified>
Yes
No
I am open to other functions
Job Title
Please enter your Job Title
LinkedIn
May be completed/added post-registration and prior to matching - A link to your LinkedIn profile with a format beginning with www.linkedin.com/ or [country].linkedin.com/
Industry Sector
<Not Specified>
Convenience Store Chain: 7-11, Casey's
Culinary Student
Distributor (i.e. Sodexo, USFS, DOT Foods)
Hotel & Lodging
Manufacturer (i.e. Nestle, Tyson, Hobart)
Non-Commercial Operator (i.e. Sysco, USFS, DOT Foods)
Other: Consultant, Coach
Restaurant Operator Independent/Small Chain (less than 200 locations)
Restaurant Operator Large Chain (1001+ locations)
Restaurant Operator Mid-Size Chain (201-1000 locations)
Service Provider (i.e. technology, consulting)
What is your Job Department/Function?
<Not Specified>
Culinary/Innovation
Customer Experience
Development/Real Estate/Franchising
Finance/Accounting
Franchising
General Management/Executive Suite
Human Resources HRBP/COE/ Center of Excellence
Marketing
Operations
Sales/Business Development
Supply Chain/Procurement
Technology
Training/L and D/DEI
Employer/Company Name or Culinary School
Please enter your company name or Culinary School.
How many years have you been in the Restaurant/Food Service Industry?
Please select years in the Industry.
<Not Specified>
1 year or less
1 to 3 years
3 to 10 years
10 to 20 years
More than 20 years
N/A
How many years have you been in this role?
<Not Specified>
1 year or less
1 to 3 years
3 to 10 years
More than 10 years
N/A
What level of academic education have you earned, or will earn?
<Not Specified>
Apprenticeship
Associate Degree
Bachelor Degree
Certification (i.e. Voc/Tech, Culinary Arts)
Doctoral
High school or equivalent
Master's Degree
Some College
What do you most wish to gain from this program?
What do you most wish to gain from this program?
What do you most wish to gain from this program? Is a required field.
How did you hear about us?
Please share how you learned about
<Not Specified>
CHART
Industry conference/media/publication
Industry Student Program
Personal Referral
Professional Referral
Referred by former GLEAMer
Social Media (Facebook, Linkedin, Instagram)
Other (i.e. TRA,ORA,MFHA,Company Name,)
If you selected Other in How did you hear about Gleam, please list how you heard about us.
Other (i.e. TRA,ORA,MFHA,Company Name,)
Biography:
May be completed/added post-registration and prior to matching - or feel free to indicate: See LinkedIn profile.
I am interested in participating in the Executive Mentor Program (for Mentees who are Directors and above) - 6-month commitment
<Not Specified>
Either
No
Yes
I am interested in participating in the Emerging Leader Mentor Program (for Mentees who are at the HQ/RSC: Managers/Professionals or in the Field: Above-Restaurant Leaders) - 6-month commitment
<Not Specified>
Yes
No
Either
I am interested in participating in the Industry Student Mentor Program (for college students/just-graduated alums at GLEAM-participating colleges w/programs dedicated to our Industry) - 8-12 week commitment (i.e. a term/semester)
<Not Specified>
Yes
No
Time Zone
Select Your Time Zone.
(UTC-12:00) International Date Line West
(UTC-11:00) Coordinated Universal Time-11
(UTC-10:00) Aleutian Islands
(UTC-10:00) Hawaii
(UTC-09:30) Marquesas Islands
(UTC-09:00) Alaska
(UTC-09:00) Coordinated Universal Time-09
(UTC-08:00) Baja California
(UTC-08:00) Coordinated Universal Time-08
(UTC-08:00) Pacific Time (US & Canada)
(UTC-07:00) Arizona
(UTC-07:00) La Paz, Mazatlan
(UTC-07:00) Mountain Time (US & Canada)
(UTC-07:00) Yukon
(UTC-06:00) Central America
(UTC-06:00) Central Time (US & Canada)
(UTC-06:00) Easter Island
(UTC-06:00) Guadalajara, Mexico City, Monterrey
(UTC-06:00) Saskatchewan
(UTC-05:00) Bogota, Lima, Quito, Rio Branco
(UTC-05:00) Chetumal
(UTC-05:00) Eastern Time (US & Canada)
(UTC-05:00) Haiti
(UTC-05:00) Havana
(UTC-05:00) Indiana (East)
(UTC-05:00) Turks and Caicos
(UTC-04:00) Asuncion
(UTC-04:00) Atlantic Time (Canada)
(UTC-04:00) Caracas
(UTC-04:00) Cuiaba
(UTC-04:00) Georgetown, La Paz, Manaus, San Juan
(UTC-04:00) Santiago
(UTC-03:30) Newfoundland
(UTC-03:00) Araguaina
(UTC-03:00) Brasilia
(UTC-03:00) Cayenne, Fortaleza
(UTC-03:00) City of Buenos Aires
(UTC-03:00) Montevideo
(UTC-03:00) Punta Arenas
(UTC-03:00) Saint Pierre and Miquelon
(UTC-03:00) Salvador
(UTC-02:00) Coordinated Universal Time-02
(UTC-02:00) Greenland
(UTC-02:00) Mid-Atlantic - Old
(UTC-01:00) Azores
(UTC-01:00) Cabo Verde Is.
(UTC) Coordinated Universal Time
(UTC+00:00) Dublin, Edinburgh, Lisbon, London
(UTC+00:00) Monrovia, Reykjavik
(UTC+00:00) Sao Tome
(UTC+01:00) Casablanca
(UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna
(UTC+01:00) Belgrade, Bratislava, Budapest, Ljubljana, Prague
(UTC+01:00) Brussels, Copenhagen, Madrid, Paris
(UTC+01:00) Sarajevo, Skopje, Warsaw, Zagreb
(UTC+01:00) West Central Africa
(UTC+02:00) Athens, Bucharest
(UTC+02:00) Beirut
(UTC+02:00) Cairo
(UTC+02:00) Chisinau
(UTC+02:00) Gaza, Hebron
(UTC+02:00) Harare, Pretoria
(UTC+02:00) Helsinki, Kyiv, Riga, Sofia, Tallinn, Vilnius
(UTC+02:00) Jerusalem
(UTC+02:00) Juba
(UTC+02:00) Kaliningrad
(UTC+02:00) Khartoum
(UTC+02:00) Tripoli
(UTC+02:00) Windhoek
(UTC+03:00) Amman
(UTC+03:00) Baghdad
(UTC+03:00) Damascus
(UTC+03:00) Istanbul
(UTC+03:00) Kuwait, Riyadh
(UTC+03:00) Minsk
(UTC+03:00) Moscow, St. Petersburg
(UTC+03:00) Nairobi
(UTC+03:00) Volgograd
(UTC+03:30) Tehran
(UTC+04:00) Abu Dhabi, Muscat
(UTC+04:00) Astrakhan, Ulyanovsk
(UTC+04:00) Baku
(UTC+04:00) Izhevsk, Samara
(UTC+04:00) Port Louis
(UTC+04:00) Saratov
(UTC+04:00) Tbilisi
(UTC+04:00) Yerevan
(UTC+04:30) Kabul
(UTC+05:00) Ashgabat, Tashkent
(UTC+05:00) Ekaterinburg
(UTC+05:00) Islamabad, Karachi
(UTC+05:00) Qyzylorda
(UTC+05:30) Chennai, Kolkata, Mumbai, New Delhi
(UTC+05:30) Sri Jayawardenepura
(UTC+05:45) Kathmandu
(UTC+06:00) Astana
(UTC+06:00) Dhaka
(UTC+06:00) Omsk
(UTC+06:30) Yangon (Rangoon)
(UTC+07:00) Bangkok, Hanoi, Jakarta
(UTC+07:00) Barnaul, Gorno-Altaysk
(UTC+07:00) Hovd
(UTC+07:00) Krasnoyarsk
(UTC+07:00) Novosibirsk
(UTC+07:00) Tomsk
(UTC+08:00) Beijing, Chongqing, Hong Kong, Urumqi
(UTC+08:00) Irkutsk
(UTC+08:00) Kuala Lumpur, Singapore
(UTC+08:00) Perth
(UTC+08:00) Taipei
(UTC+08:00) Ulaanbaatar
(UTC+08:45) Eucla
(UTC+09:00) Chita
(UTC+09:00) Osaka, Sapporo, Tokyo
(UTC+09:00) Pyongyang
(UTC+09:00) Seoul
(UTC+09:00) Yakutsk
(UTC+09:30) Adelaide
(UTC+09:30) Darwin
(UTC+10:00) Brisbane
(UTC+10:00) Canberra, Melbourne, Sydney
(UTC+10:00) Guam, Port Moresby
(UTC+10:00) Hobart
(UTC+10:00) Vladivostok
(UTC+10:30) Lord Howe Island
(UTC+11:00) Bougainville Island
(UTC+11:00) Chokurdakh
(UTC+11:00) Magadan
(UTC+11:00) Norfolk Island
(UTC+11:00) Sakhalin
(UTC+11:00) Solomon Is., New Caledonia
(UTC+12:00) Anadyr, Petropavlovsk-Kamchatsky
(UTC+12:00) Auckland, Wellington
(UTC+12:00) Coordinated Universal Time+12
(UTC+12:00) Fiji
(UTC+12:00) Petropavlovsk-Kamchatsky - Old
(UTC+12:45) Chatham Islands
(UTC+13:00) Coordinated Universal Time+13
(UTC+13:00) Nuku'alofa
(UTC+13:00) Samoa
(UTC+14:00) Kiritimati Island
Time Zone is required
What cohort will you be participating in?
Which cohort do you wish to begin your mentoring journey?
<Not Specified>
I will participate in the Spring (March)
I will particulate in the Fall (September)
I wish to be an ad hoc or just in time mentor
Cohort is a required field.
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