Apply to be a Mentor or Mentee - Leadership Stream

The National Mentorship Program is about change and an inner commitment to making change happen in a way that you and others can see. As a mentee, you determine in what areas you want to deepen your recognized leadership capacity. As a mentor -- an accomplished leader yourself-- your role is to facilitate that change and, potentially, experience some yourself!  It's a very special partnership;  a unique personal journey. 
 
To apply to the Leadership stream as a mentor or mentee:
1. Complete and submit this application
2. Email your resume/curriculum vitae (CV) to nmp@ccua.com. 
3. On the subject line, please put Leadership - Last Name - Mentor or Mentee
4. Register for a 45 - 60 minute "Introducing the NMP" webinar.
    Just click on the appropriate link.  All webinars start at the equivalent of 1:00 pm ET.

          March 24      March 30      April 6      April 11
 
Apply by April 17, 2017.

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* 1. I am applying to be a:

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* 2. Last name:

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* 3. Given name:

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* 4. Organization

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* 5. Province

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* 6. Asset size (rounded) of organization.

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* 7. Email:

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* 8. Daytime phone:

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* 9. Current title:

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* 10. Time in this position:

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* 11. Number of direct reports or size of project teams

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* 12. Your manager's support for the change(s) you want coming out of this program can be very important to your success.  Please check the box below to confirm that you have your manager's support.  If you are a CEO, enter "N/A" in this and fields 12 to 14 inclusive.

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* 13. Name of Manager:

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* 14. Manager's email:

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* 15. Manager's business phone:

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* 16. For mentees:  Of the many skills and behaviours you associate with leadership, what  changes do you want to see in yourself?  In other words, on which leadership skills and behaviours do you want to focus over the next 6 - 7 months?  No more than 3, please.

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* 17. For Mentors:   What do you want from this mentorship program?

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* 18. For both mentors and mentees, what personal qualities, skills and experience do you bring to this program?  Include experience in other mentoring programs if applicable.  Remember to email your resume/CV to nmp@ccua.com.

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* 19. What is your understanding of your role in this program?

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* 20. What are your expectations of your mentorship partner?

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* 21. Are you prepared to commit a minimum of 2 hours per month to this mentoring partnership?

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* 22. In your mind, who would constitute the ideal match?

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* 23. If you know a person with whom you would like to be matched, please enter their name and contact information in the space below.

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* 24. Is this person aware that you want to be partnered with them?  If "Yes", please ensure that they apply to this program.  If "No", please contact them and ask them to apply by the required date.

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* 25. Please email your resume/curriculum vitae to nmp@ccua.com by April 17.  It does not have to be job-search ready. We want to gain a sense of your background, experience and what you enjoy doing outside of work.

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* 26. Anything further that you'd like to add to help identify your ideal partner?

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