MAX Mentor Application Form
Thank you for your interest in MAX Mentors. Please email your CV as well as any LinkedIn profiles, websites, or portfolios to mentors@maxgala.com. Without a resume/CV we will be unable to process your application.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number: *
Your answer
Age: *
Your answer
Gender: *
LinkedIn Profile link:
Your answer
Discipline *
Occupation/Position: *
Your answer
Highest level of education completed? *
Your answer
Institute(s) of post-secondary education: *
Your answer
Do you have any other qualifications? If so, please specify: *
Your answer
Career achievements to date? *
Your answer
Why would you like to be involved in the MAX Mentors program and what can you offer? *
Maximum 250 words.
Your answer
Please describe any one activity that demonstrates your interest in community building. *
Maximum 250 words.
Your answer
Please describe the mentee you feel you can work with best. *
Maximum 75 words.
Your answer
Being a MAX Mentor will require meeting your mentee monthly, checking in with the MAX Mentors team quarterly, and attending mandatory quarterly meetings. Do you confirm that you are able to meet these requirements? *
Have you submitted your resume/CV to mentors@maxgala.com? *
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