Winter 2026 Cohort Mentee Application Form
Thank you for your interest in the Girls SySTEM Mentorship Program! Please complete this form and we will be in touch with you via e-mail shortly. 

We are excited to begin the 2026 Winter Cohort! You will be contacted towards the end of January about your mentorship pairing.

Sign-ups close February 13th.

Important notes:
- Completion of this form does not guarantee participation in this program
- Although our program targets females, we accept and welcome all genders in our program

Our regional chapters are as follows:
  • Southwestern Ontario: Serving the Hamilton, Stoney Creek, Guelph, St. Catherines, Niagara, Waterloo/Kitchener, Brantford, London, Oakville, Milton, and Burlington areas.
  • Kingston and surrounding areas
  • Saskatchewan
  • Greater Toronto Area: Serving the Toronto, Mississauga, Brampton, Oshawa, Scarborough, Newmarket, Markham, Vaughan, and Richmond Hill areas.
For any inquiries or concerns, please contact
info@girlsystemmentorship.com
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First and last name  *
Email address (please enter an email you check frequently) *
What grade are you in? *
Which regional chapter are you applying for? If you are unsure, please review the list above to confirm which chapter you fall under. *
What school do you go to? (Please enter the full name) *
Phone number *
Parent/guardian email address *
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