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Mentor Profile
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Name and Surname
*
Gender
*
Male
Female
Date of Birth
*
MM slash DD slash YYYY
Contact Details
*
Email Address
*
Profession / Grade
*
What is your preferred communication method? WhatsApp/ phone call/ email/ face to face
*
Which project would you like to mentor for, Girls Empowered or Boys Empowered Project?
*
Participation in the mentorship programme will require both the mentees and mentors commit at least 4-6 hours every month. Will you be able to commit 4-6 hours of mentorship per month to your mentee?
*
Yes
No
What kind of commitment are you willing to make to support your mentee achieve his or her short term and long term goals?
*
What is your highest education level? Diploma/ Bachelor’s Degree/ Master’s Degree/ PHD/ Other
*
Which study field are you in?
*
Please provide a short bio (100 characteristics).
*
How many years of mentorship experience do you have?
*
Mentees have been asked to indicate 4 or 5 major areas of interest for mentoring from the list below. Please indicate areas you would be happy to provide mentorship
*
Sports
Events and Marketing
Informatics/Technology/Technical
Food Service/Culinary
Communication/Writing
Entertainment
Education
Community Development/Social Change
Entrepreneurship
Leadership
Networking skills
Other
If other, please describe
Consent
*
I declare that the application is my own, original work and the information provided is the truth.
Signature
*
Witness' Name and Surname
*
Witness Signature
*
Date Signed
*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.
