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HOME / LEARNING AND YOU / MENTOR PROGRAM /


Mentee 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
Please Select the way(s) you want to find a mentor:
I will find my own Mentor:
I would like to be matched with a Mentor:
What skills, knowledge and experience do you wish to develop? 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

My professional skills and achievements are:

I need improvement and support in:

My professional development goals over the next 12 months are to:

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

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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