2023 PWN Nice Cote d'Azur GROUP MENTEE Application form

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As a valued PWN Member, we are delighted that you would like to participate in our 2023 Group Mentoring Program Pilot as one of the Mentees.

Dates and locations of sessions have been pre-decided, the details of which can be seen below. Please ensure your availability at the dates and times of the group to which you are applying.

Deadlines for applications: 09 April 2023

Confirmation of acceptance: 11 April 2023

Please note that any data collected is strictly used for the purpose of this program and will not be shared without your permission.

Email *

First Name *

Last Name *

Phone Number *

Company Name

Job Title *

Please describe your career, industry, and current role? *

Is there anything else you would like us to know about you ? *

Please provide your Linkedin profile or website

Are you a PWN Nice Cote d'Azur Member *

Yes

Which Group program would you like to apply for? *

INTEGRATING SUSTAINABILITY IN YOUR DAILY WORK - (On-line / Visio sessions)

IDENTITY AND PERSONAL BRANDING : Finding your Why, Shaping your Way! (In Person sessions)

If you are intending to apply for the "INTEGRATION SUSTAINABILITY" GROUP are you available for ALL of the following session dates?

Online Sessions from 17h to 18h15 :

- 13 April 2023

- 11 May 2023

- 15 June 2023

- 21 September 2023

- 19 October 2023

- 23 November 2023

Yes

What are your expectations and motivations for the "Integrating sustainability in your daily work" On-line Group Mentoring program ? *

If you are intending to apply for the "IDENTITY AND PERSONAL BRANDING" GROUP, are you available from 02 May to September for ALL of the following session dates?

In Person Sessions:

- 02 May - 2 pm to 4.30 pm

- 16 May - 10 am to 12.30 pm

- 20 June - 10 am to 12.30 pm

- September (TBC Together )

Yes

Yes, but at another time. Please precise :

Other:

What are your expectations and motivations for the "Identity and Personal Branding" In Person Group Mentoring program ? *

Confidentiality is an essential component of the PWN Mentoring program. By applying to the PWN Mentoring program, you agree to keep in strict confidence all and any information which is obtained/discussed/heard during the mentoring relationship, either one-on-one or in a group setting *

I agree to keep all information in strict confidence.

Required

Date application submitted:

YYYY

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