Student registration form for mentoring program

Student ID

Profile Picture

Work Permit

Parent Permission Slip

I understand that applying to the Mentorship Program does not necessarily guarantee participation if I cannot make a suitable match.

I am able to commit to a minimum of four face-to-face meetings during the time frame of the Mentorship Program.

I understand that I may have to travel to my mentor's workplace to attend meetings.

I understand that my mentor has volunteered for the program and that the relationship is learning-based.

I understand that I must take ownership of arranging meetings, times and locations and that I must be prepared with a meeting agenda.

Yes, as a Mentor.

Yes, as a Protégé.

No.

Minimum weekly work hours

Business Type

If yes, describe your experience

Current job title / role

Career / Work history

Relevant educational history

Activities and interests

What do you hope to gain by participating in the Mentorship Program?

In general, what do you hope to learn from your mentor?

Where do you see yourself in three years?

What are two goals you want to accomplish during the Mentorship Program?