2020-2021 Mentor Application

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* 1. Please enter your contact information:

Name

Company

Work Address

Address 2

City

Province

Postal Code

Membership Number

Email Address

Phone Number

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* 2. Why would you like to participate in the program as a mentor?

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* 3. What area(s) of the industry do you have experience in?

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* 4. Is there anything else you would like us to know about you to help us find you a good mentee match?

I understand the commitment to this program lasts 7 months and requires approximately 1 hour of time per month