Mindful(l) Mentorship Programme Application
Complete the form below to sign up for Mindful(l)'s 1-on-1 peer support programme

Please note that all information submitted to this form is 100% confidential and will not be shared

Mentor - Mentee pairings will be made decided based on the perceived best fit that has been assigned by the executive team. Whilst we will consider your preferred mentor, you may not be assigned to them.

Should you have any additional questions, please contact us via our website or email us on mindfulorganisation@gmail.com.
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Name and Surname *
Phone number *
Email address *
Province *
Are you currently working/studying? *
Brief mental health history *
Reason for joining the mentorship programme *
Preferred Mentor *
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