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Mentorship Program Registration
Register for the Canadian Women of Colour Leadership Network's (CWCLN) Mentorship Program. Please note that this does not guarantee acceptance into the program
* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Gender
*
Female
Non-binary
Other:
What are your pronouns?
*
she/her
he/him
they/them
she/they
he/they
All pronouns
Other:
Required
What province are you based in?
*
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
Newfoundland and Labrador
New Brunswick
Prince Edward Island
Nova Scotia
What is your field of work/study?
*
Your answer
Phone number
Your answer
Email address
*
Your answer
Have you received mentorship before?
Yes
No
Clear selection
Have you been a mentor before?
Yes
No
Clear selection
Are you interested in being a mentee or a mentor?
*
Mentee - I want to receive mentoring
Mentor - I want to mentor someone
Why are you interested in participating in this program?
Your answer
Language Preference
*
English
French
Anything you would like us to know about yourself?
Your answer
Submit
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