Mentor Application Form

Before continuing please ensure you have reviewed and met the criteria for the program outlined on the WCM website. This program is open to participants across Canada.

Application Deadline: Monday, November 18th, 2019

*Please Note: It is not mandatory to be a WCM Member if you want to participate as a mentor in this program. If you are interested in becoming a WCM Member, please email info@wcm.ca, and someone will be happy to assist you with setting up your membership. For more information on what WCM can do for you, please visit our website.

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* 1. Contact Information

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* 2. City:

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* 3. Gender:

BUSINESS INFORMATION

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* 6. Please enter your full title:

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* 7. What area(s) do you have experience in?

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* 8. Which department(s) do you have experience in? Please check all that apply.

POST SECONDARY INFORMATION

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* 13. Professional Designations (if applicable)

ADDITIONAL INFORMATION

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* 14. Does WCM have your permission to share your participation in this program with your current employer?

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* 15. Are you comfortable mentoring a protegee who lives in a different location (with phone/skype etc. meetings)? 

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* 16. Please upload the latest version of your resume (optional)

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Thank you for volunteering to be a mentor in WCM’s 2020 UniConnect Mentorship Program. Please note that the matching process is done on a best efforts basis. You will be notified if your application was successful in late December 2019 and the program will begin in January 2020.

By applying to WCM's Mentorship Program, you acknowledge that personal information including, but not limited to, your first name, last name, email address, phone number, address and other details (collectively “Personal Information”) included in the application package will be collected from you by WCM. By providing your Personal Information to WCM, you consent and agree to WCM’s collection and use of your Personal Information to administer the Program.

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