8/13/2019 Mentor Questionnaire IIMs

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Mentors Comments: TARGET IIM 

Questionnaire

Personal

Name: 

Date of birth:

Father’s Name: Mother’s Name:

Occupation: Occupation:

Siblings(if any): Age:Currently pursuing:

 Age:Currently pursuing:

Common Admission Test Details

Percentile Score

OVERALL

Data Interpretation

Quantitative

Verbal

Have you appeared for the CAT earlier:

If so, what was your percentile score(s):

Did you secure interview call(s) from the IIMs:

 Apart From IIMs have you received any other calls? Pls Mention:

•   ___________________ ___________________

•   ___________________ ___________________

•   ___________________ ___________________

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Mentors Comments: TARGET IIM 

Write Your Biographical Sketch In One Page  

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Mentors Comments: TARGET IIM 

3. Is there any gapin your education?

If so, pleaseelaborate

4. Academicachievements(Scholarships etc.)

5. Overall, howwould you rateyourself as astudent?

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Mentors Comments: TARGET IIM 

Work Experience

Total work Experience (in months) as on 01/01/2010(Paid & Full Time After Graduation):

Organization Position Period Responsibi lit ies Achievements

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Mentors Comments: TARGET IIM 

Extra-Curricular Activities/Sports

1. During school

2. DuringGraduation

3. Hobbies andInterests / Whatyou generally do infree time?

4. How would yourelate the abovementionedinterests to whatyou want to do inlife?

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Mentors Comments: TARGET IIM 

Community/Social Service

 Activ ity -1

Year(s) of participation

Responsibilities

 Achievements

 Activ ity -2

Year(s) of participation

Responsibilities

 Achievements

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Mentors Comments: TARGET IIM 

Strengths

For your self-assessed strongest 3 strengths, provide an instance of how this strength came to youruse/need

Strength 1

Quote an instancewhere you used yourstrength

Strength 2

Quote an instancewhere you used yourstrength

Strength 3

Quote an instancewhere you used yourstrength

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Mentors Comments: TARGET IIM 

Weaknesses

Please list any 3 areas that you perceive to be a weakness for you.

Weakness 1

When did you identify it

How is it hampering yourprofessional/personal life

What are you doing toovercome it

Weakness 2

When did you identify it

How is it hampering yourprofessional/personal life

What are you doing toovercome it

Weakness 3

When did you identify it

How is it hampering yourprofessional/personal life

What are you doing toovercome it

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Mentors Comments: TARGET IIM 

Career Vision

Question Response

1. What are yourcareer goals?

2. Why do you wantto pursue an MBA?

3. Whom do youadmire the most, andwhy?

4. Tell us about atime when you wentbeyond what was

defined, expected orestablished?

5. Tell us about atime when you madea difficult decision?

6. Describe the worstteam experience youhave ever had. Whatdid you do?

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Mentors Comments: TARGET IIM 

Miscellaneous

Question Response

1. What matters mostto you and why?

2. What have you

learned from yourcostliest mistake?

3. Discuss the mostcritical feedback youhave received.

4. What do yourfriends think aboutyou?

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Mentors Comments: TARGET IIM 

5. Which recentdevelopment hasmost influenced yourthinking and why?

6. Tell me about

something that youdid, or failed to do,that you regret

7. How do you

handle stress?

8. Apart frommanagement whichother career option/sinterest you?

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Mentors Comments: TARGET IIM 

Values and Beliefs

Question Response

1. What does success mean toyou?

2. Suppose you are an

insurance agent whose friendis dying of cancer. Knowingthat you can help him and hisfamily, would you clear hismedical certificate so that hecan get life insurance fromyour company?

3. Suppose you are playing forthe Indian cricket team. Youare the last batsman. The teamrequires two runs to win.Suddenly you nick the ball andthe keeper catches it. Theopposing team appeals. But

the umpire is not sure if youhave nicked the ball. He asksyou. What would be youranswer?

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Mentors Comments: TARGET IIM 

Mentor ’s Appraisal of Candidate

Mentor:

Contact No:

1.

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2.

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3.

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4.

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5.

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