Mentor Contact
Contact application form to become a mentor
Email address *
First Name * Prénom
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Last Name * Nom
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Date of birth * Date de naissance
MM
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DD
/
YYYY
Address * Adresse
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Post code, Town * Code postal, ville
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Current professional activities (function, areas of responsibility, expertise, ...) * Activité professionnelle actuelle (fonction(s), champ de responsabilités, expertise(s)...)
Your answer
Current personal activities (the most important points...) * Activités personnelles (la ou les plus importante(s)...)
Your answer
Best professional experience with regard to mentoring (previous experience as a mentor / or a mentee) * Meilleur souvenir professionnel en rapport avec le mentoring (que vous ayez été - dans les faits - en position de Mentor ou de Mentee...)
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In your view, what do women most need, at this moment in time, to support them in their professional life? * A votre avis, de quoi les femmes ont le plus besoin en ce moment pour les aider dans leur vie professionnelle ?
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Why would you like to become a mentor? * Pourquoi souhaitez vous devenir mentor?
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Other comments * autres commentaires *
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A copy of your responses will be emailed to the address you provided.
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