Application for Mentees - Mentoring Programme 2018-2019
Email address *
1. Name *
Your answer
2. Last Name *
Your answer
3. Date of birth *
MM
/
DD
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YYYY
4. Telephone Number *
Your answer
5. Job title *
Your answer
6. Organisation and department *
Your answer
7. I am currently *
8. Short description of my current responsibilities [minimum 25 words] *
Your answer
9. Years of experience *
10. Area(s) of expertise *
Required
11. My 3 top goals to achieve during this programme are [minimum 30 words] *
Your answer
12. My ideal mentor is *
Please describe the area of expertise, years of experience, personal and professional skills
Your answer
13. I would like to be mentored by *
Required
13a. Other than your field, please indicate which field *
Your answer
13b. I would like to be mentored by
14. Have you participated in a mentoring programme before *
Required
14a. If yes, please describe: when, where, for how long? *
Your answer
15. To complete your application, please send us your 1-2 pg CV to mentoring@wiis-brussels.org
Your answer
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