CSARN Mentorship Application - Mentee C*SARN Mentee Application Form Thank you for your interest in our Mentorship program. Please fill out the following question. It will help us find a possible match. We will ask you to upload your latest cv or resume at the end of the application. Question Title * 1. Your name Question Title * 2. Street Address Question Title * 3. City/Town Question Title * 4. Province/Territory AB BC MB NB NL NS NT NU ON PE QC SK YT Question Title * 5. Postal Code Question Title * 6. Phone Question Title * 7. Email Address Question Title * 8. Website Question Title * 9. In which artistic discipline[s] do you work? Actor Composer Craftsperson Dance Professional Designer Director Media Arts/Broadcaster Musician Singer Stage Manager Technician Visual Artist Writer Other (please specify) Question Title * 10. If you have checked more than one discipline, please let us know in which area you would like a mentor Question Title * 11. How many years have you been practicing your art [does not have to be consecutive]? Question Title * 12. Please list your professional affiliations Question Title * 13. Why do you need a mentor? What kind of focus would you like the mentorship to take? Question Title * 14. What do you hope to gain from a mentorship? Question Title * 15. Are you willing to travel to a different city as part of a mentorship? Yes No Question Title * 16. If you have looked through the Mentor Match section of our website, is there anyone you would like to work with? If so, Please enter their numbers here. Question Title * 17. May we share this information with a potential mentor? Yes No Question Title * 18. Please upload your latest cv or resume. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File No file chosen Remove File Please upload your latest cv or resume. Thank you for your interest. We will contact you if we find a mentor.