Thank you for your interest in the OAEM Mentorship Program. Please fill out the form below. If you are not currently a member of OAEM, please email treasurer@oaem.ca for information regarding membership. If you have any questions regarding the mentorship program, please email education@oaem.ca.

*An OAEM student membership is required to participate in the mentorship program.*

There are two cohorts for the program (beginning in January or July for a 12-month period each). 

Thank you for your time,

Education Director, OAEM

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* 1. Please provide your contact information

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* 2. Are you an OAEM Member?

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* 3. Which of the following best describes you?

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* 4. What are your main areas of interest in EM/BC? Check all that apply.

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* 5. What is the approximate number of years in EM/BC that you have?

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* 6. Do you have any work experience outside of EM/BC? If so, how many years? Please explain.

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* 7. Would you be okay with using online contact (Skype, FaceTime) for your contact with the mentee?

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* 8. In the space below, briefly write about why you are interested in the mentorship program and what you would like to achieve from your participation in terms of building a career in EM/BC.

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* 9. If you have any additional comments regarding this registration or the OAEM Mentorship Program, please comment below. Thank you.

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