Mentee Questionnaire

If you have problems filling in this form or if you have questions, please contact:

Vanessa Ferreira-Valente
Alumni and Events Coordinator
1-800-605-3526 x 338

  1. First Name *

  2. Last Name *

  3. Street Address *

  4. Address Line 2

  5. City *

  6. Province

  7. Postal Code

  8. Country

  9. Phone *

  10. Email*

  11. Program of participation *

  12. Year of participation *

Current Status

  1. Are you currently a student? *

  2. If yes, where are you studying
  3. Field of study

  4. Are you currently employed? *

  5. If yes, where are you employed
  6. Position/Title

  7. Are you volunteering? *

  8. If yes, where are you volunteering
  9. Type of volunteer work

  10. Gender *
    If other, please specify

  11. Language *
    If other, please specify

  12. Please outline your professional objectives: *

  13. Please indicate the field(s) of practice in which you are interested in working (ex. environment, health, education, marketing, community development, law, etc.):

  • What is your experience in a mentorship relationship? *

  • Please describe why you chose to participate in this program and how you expect being in a mentorship relationship will impact your professional development. *

  • Other comments

    If you would like to let us know about any other information about your application, please let us know below.

  • How did you hear about the CWY Mentorship Program? *
    If other, please specify:

  • CV *

    We ask that all mentors and mentee include a copy of their current CV with their application to provide to their mentorship partners and to aid CWY in creating the best possible mentorship match. Please upload your .doc, .docx or .pdf file.

    Agreement *

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