2020 Winter - Mentor Application - WISE NL Mentorship Program
This is the mentor application for the Winter 2020 (January- April) phase of the WISE NL Professional Mentorship Program-.
Name *
Your answer
Phone Number *
Your answer
E-Mail Address *
Your answer
1. Please list colleges and universities you have attended and all diplomas, degrees, designations, and certifications. *
Your answer
2. Do you self identify as Indigenous, visible minority, or a person with disability? *
3. Please list your job title and employer: *
Your answer
4. Describe the daily tasks of your job: *
Your answer
5. Have you participated in a Mentorship Program before? If yes, list date and past assigned mentee/s: *
Your answer
6. Please list the area of work most suited to your mentorship abilities. (i.e., Sciences Technology, Math, Engineering, Other): *
Your answer
7. What would you like to get out of the WISE NL Professional Mentorship program? Please be as specific as possible: *
Your answer
8. Are you able to commit to one meeting per month (September-December), with your Mentee and one of three program events? *
Your answer
9. Please list any questions/comments/concerns you may have.
Your answer
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