CHNIG Mentor Application
Hello!

If you are nurse looking to guide future nurses, share your nursing knowledge, and to promote the fundamental field of community health nursing or public health nursing then this application is for you!

About This Program:
  • Duration: January 2023 - June 2023
  • Contact Methods: Mentor and mentees can connect via email and video call (minimum 3 calls per year)

This Google Form is for the purpose of gaining an insight into why you want to become a mentor as well as which mentee would best fit your needs. Please complete this at your earliest convenience and feel free to reach out to us via email if you have any questions or concerns!

Thank you,
CHNIG Student Committee
Contact: Communications@CHNIG.org
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Email *
DEADLINE: PLEASE COMPLETE AND SUBMIT BY FRIDAY, DECEMBER 2ND, 2022.
Full Name *
Preferred Name (if applicable)
Pronouns
 *
What is your current CHN/PHN role?
 *
What topics would you feel most knowledgeable / confident in discussing with your student mentee?
 *
Required
Please share suggestions on how we can best support mentors, or any other ideas you would like to share with the CHNIG group.
 *
Thank you for taking the time to register with the CHNIG mentoring program!
Watch for communications via email for information regarding the status of your CHNIG mentor application.

If you have any questions, comments or concerns, feel free to contact CHNIG at Communications@CHNIG.org
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