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WIL Ottawa Mentor Form 2020
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Email *
Section 1: Contact Information
What is your first name? *
What is your last name? *
For statistical purposes, please indicate if you are: *
Required
Phone number: *
Primary email: *
LinkedIn Profile: *
Please include any other of your Social Media page(s) you'd like to be included in your Mentor Profile (ex. Twitter, Instagram):
What is the highest degree or level of education you withhold? *
If applicable, what was/is your major(s) and/or minor(s)? *
Section 2: Employment Background
Current company: *
Current job title: *
Industry segment: *
Required
How long have you been in this position? *
If you do, how many employees do you manage? *
Describe your professional career background in 100 words or less (main roles, technical skills, responsibilities, managerial experience). This will be used in the Mentor Profile that we will share with your Mentee(s). *
Select your top business strengths and areas of business expertise: *
Required
If you choose "Other", please explain:
Section 3: Mentorship Information
How much time on a monthly basis are you able to provide to the mentorship program? *
What are your top 3 reasons why you wanted to become a mentor? *
Required
Please indicate which type(s) of mentoring you would like to be involved with: *
Required
How many mentees are you willing to mentor? *
Do you have any specifications about your mentee(s)? Please describe them below.
Do you wish to be matched with a mentee from the same industry as you? *
How did you hear about WIL's mentorship program? *
If you selected "WIL Social Media", please indicate which one:
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Please include any additional comments/concerns: *
Would you like to be included in our mailing list to be sent additional and relevant information about WIL organized events? We will never spam you! *
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