Thank for your interest in attending the 2019 WIMBIZ Mentoring Program, To register, Kindly fill in your details in the form below or tick the necessary information.
Title *
First Name *
Your answer
Last Name *
Your answer
Age *
Phone Number *
Your answer
Email Address *
Your answer
Contact Address *
Your answer
Civil Status *
Highest Education Qualification *
State of Residence *
Name of Organisation *
Your answer
Present Job Title *
Your answer
Sector *
If Others, kindly state here
Your answer
Are you a WIMBIZ Associate? *
How long have you been in paid employment/ business? *
What is your life goal (SMART Goal)? *
Your answer
What have you done in the past two years to develop yourself in line with your career goals? *
Your answer
Why do you want to be a mentor? *
Your answer
Have you ever had a mentoring relationship? *
How long did it last?
Was it beneficial?
List three attributes you would like in a mentee? *
Your answer
Kindly state any special knowledge or skill that you possess? *
Your answer
Will you be willing to commit to a 1 day Mentor’s brief? *
Will you be willing to commit to an 8-month mentoring relationship? *
Are you willing to communicate electronically or physically with your mentee at least once a month? *
What are your two (2) most preferred means of communication? *
Comments (kindly supply any other information that you think might be important in the selection process) *
Your answer
Please provide your short profile (not more than 200 words) *
Your answer
Additional Information
Please send your passport photograph and CV to mentoring@wimbiz.org using the subject title "Mentor - Your fullname" on or before Monday, January 14, 2019
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