Generation ReMix

Mentor registration questionnaire

Silver Surfers Club × Goa AI Tech Conclave 2026

A brief questionnaire to understand your professional experience, what you can share with a young mentee, and what you would like to learn in return.

Hello, and welcome!

It takes about ten minutes. Questions marked optional can be skipped. Your profile goes live as soon as you press Create my profile, and you can change it any time afterwards.

Would you like a hand with it? Message Dipti on WhatsApp at +91 99009 11443 and the team will fill it in with you.

A clear, recent photo of your face, in good light. It goes on your profile.

A line or two about you beyond work: the things you love most about life, or enjoy doing most. For example: “I'm easy-going, I love travelling, dancing and good music.”

Part 1 Your professional experience

We use +91 (India) unless you type another country code.

We send your booking confirmations here.

Briefly describe the industries or fields you have worked in.

List key employers and any businesses you have founded.

If currently working, mention your present role.

How many years of professional experience do you have?
What are your key areas of professional expertise?

Select all that apply.

What skills, knowledge or experiences would you be happy to share with a younger mentee?

Select all that apply.

Part 2 Your turn to learn

What would you like your younger mentee to help you explore or learn? optional

Select all that apply.

Part 3 Conclave participation

When would you be available on Friday, 23 October?
What interaction format would you prefer?
May we feature your professional profile during the Conclave?

Part 4 After the Conclave

How much time could you give each month?
How many young people would you like to mentor at a time?
When are you usually free for a 1-hour online conversation? optional

Pick any.

How would you like to meet?

Pick any you're comfortable with.

Thank you for being part of Generation ReMix!

Your experience could shape someone's future, and their perspective might open a new door for you.