Mentor Contact
Contact application form to become a Mentor / formulaire de contact Mentor
e-mail address / Adresse e-mail *
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Firstname / Prénom
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Lastname / Nom
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Date of birth / Date de naissance
MM
/
DD
/
YYYY
Address / Adresse
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Post code, town / Code postal, ville
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Current professional activities (function, areas of responsibility, expertise, ...) / Activité professionnelle actuelle (fonction(s), champ de responsabilités, expertise(s)...)
Your answer
Current personal activities (the most important points...) / Activités personnelles (la ou les plus importante(s)...)
Your answer
Best professional experience with regard to mentoring (previous experience as a mentor or a mentee) / Meilleur souvenir professionnel en rapport avec le mentoring (que vous ayez été - dans les faits - en position de Mentor ou de Mentee...)
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In your view, what do women most need, at this moment in time, to support them in their professional life? / A votre avis, de quoi les femmes ont le plus besoin en ce moment pour les aider dans leur vie professionnelle ?
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Why would you like to become a mentor? / Pourquoi souhaitez vous devenir mentor?
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Other comments / Autres commentaires
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