Mentoring Program Interest Form
Thank you for your interest in NAWBO-OC Mentoring Program! The program runs September 2019 to February 2020.

Please fill out the following interest form in order to receive a login and instructions to access the full application. The application is used to match you with a mentor so your experience is tailored and relevant.

Please include these important dates on your calendars:

August 30, 2019 - Last day to submit application
September 26, 2019 | 9:00AM-2:00PM - Mentoring Orientation and Launch (Mandatory)
October, 2019-February, 2019 - One-on-one sessions
November 7, 2019 | 6:00PM-8:00PM - Mentee-only group session
January 9, 2019 | 6:00pm-8:00PM - Mid-year group session
February 27, 2019 | 6:00PM-8:00PM - End of Program Party

Email address *
Name *
Your answer
Cell Phone # *
Your answer
Are you a member of NAWBO-OC? *
Can you attend the Kick-Off Event on September 26, 2019 from 9:00am-2:00pm? *
Will you pay the $500 program fee or would you like to utilize an installment plan? Please note that a $200 deposit is required for all participants.
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