Mentorship Application
Thank you for your interest in the Prodigy Group Mentorship Program. The application form will be used to ensure you are a suitable candidate for the Mentorship Program and match you with a mentor based on your professional experience, interests and program expectations

Please note that the application form will be reviewed by the mentorship committee and will also be made available to the selected mentors. By submitting the application form, you are giving permission for this information to be reviewed by the above mentioned.

If you have any additional questions, please contact: mentorship@prodigygroup.ca

Full name *
Your answer
Company name *
Your answer
How did you hear about the Mentorship Program? *
Are you a Greater Victoria Chamber of Commerce Member? *
Position with the company *
Your answer
Phone number *
Your answer
Email address *
Your answer
List three areas you would like to improve on *
Your answer
How do you feel the Mentorship Program could benefit you? *
Your answer
List three outcomes you would like to achieve from the Mentorship Program *
Your answer
I am prepared to participate in the Mentorship Program for six months with at least one meeting per month *
Is there anything else you would like to add?
Your answer
Submit
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