If you are interested in volunteering as a Mentor with the Building Community Organizations (BCO) Program offered by the BC Organizational Development Network (BCODN), please provide the following information:

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* 1. Application

Date

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* 2. Contact Information

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* 3. I am interested in being a Mentor [Check all that apply]

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* 4. My past experience with BCO Projects: [Check one]

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* 5. How flexible is your schedule? [Check one]

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* 6. Methods of participation [Check all that apply]

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* 7. Why are you interested in being a Mentor?
[Please write a short paragraph.]

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* 8. What do you think a mentee can learn from you?
[Please write a short paragraph.]

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* 9. What limitations, if any, should the BCO Committee be aware of that may impact your ability to fully participate in the completion of a BCO Project?

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* 10. How did you find out about this opportunity?

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* 11. I am seeking to participate in this program to fulfill requirements of the following (check ALL that apply)

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* 12. I have completed the following requirements for participating in a community consulting team as a Mentor. (ALL must be checked for application to be considered)

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