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

* 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?

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?

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?

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

T