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HOME / LEARNING AND YOU / MENTOR PROGRAM /


Mentor Sign-up

Please fill out all sections of form to apply to the Mentor Program. Acceptance to program is subject to your supervisor's approval.

First Name   Last Name
Phone Number   E-mail
Position Title   Department
Supervisor   Location
Prefered Start Date    
My supervisor has acknowledged my application to participate: Yes No
Number of mentees  

What skills, knowledge and experience do you wish to mentor others in? Check all that apply.
Analytical conceptual skills Assertiveness
Communication - interpersonal Communication - verbal
Communication - written Concilation/mediation
Corporate Knowledge Financial management
Goal setting Interview skills
Job application skills Leadership skills
Legislation development/review Management skills
Networking Policy Development
Project management Research Skills
Risk assessment Self management
Self marketing Supervisory skills
Work/life balance

What do you bring to a mentor partnership? Please outline skills, knowledge and experience you wish to share:

What information about you would yourself like the co-ordinator to know to help in matching you with an appropriate mentee:

Additional Comments:

I agree that as a participant in the mentor program that all information exchanged between the mentor and mentee will be held in confidence.

      
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