Mentee Application Go backYour message has been sent Mentee Application *NOTE – This form does not save when completed partially – please complete and submit in one sitting.* Name(required) Warning Which age range are you in? Select one 18 – 25 26 – 35 36 – 45 46 – 55 55 or older Warning Email(required) Warning Phone Number(required) Warning Profession, Job Title, Company, or other (e.g. if student – what are you studying – career path)(required) Warning Select one(required) I would prefer to be Mentored one-on-one I would prefer to be a part of a Mentor Group (up to 8 Mentees) Warning Describe yourself (personal life, family, interests, strengths, weaknesses)(required) Warning Describe why you are interested in becoming a Mentee(required) Warning How specifically do you hope to benefit from regular meetings with your Mentor?(required) Warning List your top 3 topics you would like a Mentor’s input on?(required) Warning Please list 3 references: Name, email, phone number and how they are related to you.(required) Warning Please check the item that applies to you: I am willing to have a Vulnerable Sector Police Check performed. I am NOT willing to have a Vulnerable Sector Police Check performed. Warning Today’s Date (YYYY-MM-DD)(required) Warning Signature(required) Warning Thank You for completing the on-line application. You are well on your way to joining the Canadian Mentor Network! We will be in contact with you shortly with instructions for your next steps. Warning. SubmitSubmitting form Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...
Canadian Mentor Network