Calgary Black Chambers Mentee Form
Thank you for your interest in Mentorship. Please fill out the form below to the best of your abilities and one of our members will get in touch about the next steps.
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First Name *
Last Name *
Contact Email *
Gender pronouns *
How old are you? *
Contact Phone Number *
Name of your post-secondary institution or select highschool *
If you selected high school for the last question, please let us know which high school?
What level of education are you currently attending? *
Area of Study *
Required
Do you have prior experience working with a mentor? *
If yes, please describe
Why do you want a mentor? *
What unique skills & characteristics are you looking to gain & improve on through Mentorship? (point form) *
In which area would you most like to receive mentorship? *
Required
I attest that this form has been filled out in good faith as accurately as possible. *
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