IWE Mentoring Circle Registration Form

1.First Name(Required.)
2.Last Name(Required.)
3.Community where you live (please note that the mentoring circle is specific to women living in Northern Manitoba or who belong to a First Nations Band located in Northern Manitoba)(Required.)
4.Email Address(Required.)
5.Phone Number
6.Heritage(Required.)
7.Where are you in terms of business?(Required.)
8.What type of business are you currently operating or hope to operate e.g. food services, arts & crafts, consulting, etc.(Required.)
9.Is your business operating on-reserve or off-reserve (or if you have not yet started, where will it be located)?(Required.)
10.Which session time are you planning to attend?