Leadership Development Course - Application for Volunteer Mentors
A leadership development course for individuals living with an intellectual disability who want to make a difference in their community!

We are looking for volunteer mentors who are passionate about helping others reach their potential!

Your role as a volunteer mentor will be to:
- support student leaders in their community placements
- provide curriculum support and guidance throughout classes
- offer one-on-one mentorship to all students leaders
- gain professional development through training and hands-on experience

Start date: January 15, 2019

End date: April 15, 2019

Required commitment: approximately 6 hours per week.

APPLICATION DEADLINE: November 30, 2019 - EXTENDED TO DECEMBER 15, 2019
Name *
Your answer
Phone *
Your answer
Mailing Address *
Your answer
Email *
Your answer
Are you currently attending University? *
If yes to above, which University are you attending?
Your answer
Please check all weeks to indicate your commitment to 6 hours per week (Please note: the course will not run during week of February 17-21): *
Required
Do you have previous experience working with individuals with intellectual disabilities? *
A police check will be required for this position. Are you able to obtain a police check? *
Reference 1 information - PLEASE PROVIDE: Name of agency/organization, name of reference, their phone, and their email address. *
Your answer
Reference 2 information - PLEASE PROVIDE: Name of agency/organization, name of reference, their phone, and their email address. *
Your answer
Reference 3 information - PLEASE PROVIDE: Name of agency/organization, name of reference, their phone, and their email address. *
Your answer
Thank you for completing the application!
Interviews will be conducted during November and December.

If you have any questions, please contact Tricia Kidd, Leadership Development Coordinator, at tkidd@fccb.ca
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