Request edit access
Washindi Africa Mentorship Programme (WAMP) -Mentors Application
This is a 6 months mentorship program to youths who have interest in medical field and its specialties.

i. A professional in the medical field, with passion for youth empowerment, mentorship and career development.
ii. Ability to commit to the Programme and be available for meeting when need be.
iii. An excellent understanding and knowledge in your area of expertise

i. Brand recognition in all our mentorship programs
ii. Free access to our forums and activities
iii. Access to empowered pool of youths
Sign in to Google to save your progress. Learn more
Name *
Age *
Gender *
Telephone Number *
Email *
Area of residence *
What is your area of speciality in the medical field? Select in the options below. *
Level of qualification *
Shorty describe more about your work. (Give details of where you work, station, achievements and greatest contribution you would bring to the program) *
Would you love to refer someone who might benefit from our mentorship program? Kindly submit their name and telephone number below.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy