PEIBWA Peer Mentorship Program Application - Fall 2026

The Peer Mentorship Program is open to PEIBWA members only.

Non-members may apply with the understanding that in order to begin the program if selected, they must join the membership.

The program is set to begin on Tuesday, September 29, 2026 and will be held virtually from 9:00 am - 10:30 for approximately 8 weeks.

For any questions, please reach out to PEIBWA CEO, Barb Weeks, barb@peibwa.org.

Deadline for application submission: September 13, 2026.

Please note that personal information gathered as part of the application process will be used for internal purposes only and will not be given or sold to any other individuals or organizations.

Question Title

* Personal Information

Name, First and Last

Preferred Pronouns

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* Contact Information

Phone Number

Address

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* For statistical purposes, please indicate if you are:

Immigrant or refugee

Indigenous

Person with disability

LGTBQIA2S+

A visible minority

None of the Above

Prefer not to say

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* Are you currently a PEIBWA member in good standing?

Yes

Uncertain

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* Business Name

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* If you have a website and/or social media page for your business, please provide the links

25% of survey complete.