Mentor Application Form
This questionnaire is designed to gather essential details about you, enabling us to make informed mentor-mentee pairings within the Loy Excellentia Initiative Mentorship. Please understand that completion of this form does not guarantee automatic enrollment into the program. Your responses will be carefully considered, and if selected, you will be notified about the next steps in the enrollment process. Thank you for taking the time to provide us with valuable insights into your background, experiences, and preferences. Your commitment to this process is instrumental in creating meaningful connections and fostering a supportive mentoring environment.
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Do you identify as a black?
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What language are you proficient in?
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Full Name
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E-mail
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WhatsApp number
Age range
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Which Province are you residing in?
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Highest level of completed education
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Which of the following Mentorship stream are you volunteering for?
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If you are volunteering as a Black Professional Mentor, did you study here in Canada?
Clear selection
What is your profession?
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How many years have you been working in this field in Canada?
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Loy Excellentia Initiative will share all the information about the mentoring program with the mentor email.

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