CICA Mentee Application/Profile
Name *
Email *
Address *
Phone number
Highest Level of Education
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Have you ever participated in a Mentorship Program as a mentee?
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How did you hear about us?
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Are you current employed?
Current Occupation
Years of Professional Experience
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Area of Interest
What are you looking for in a mentor (skills, career path, interest)? *
Why are you interested in the CICA Mentoring Program? (Please include any information about your professional experience and career interest) *
What are some skills you hope to learn from this program and how will you apply it to your career journey? *
How will this mentorship program help you achieve your career development goals? *
By submitting this application, I confirm that I am able to commit to the duration of the CICA Mentorship Program and that I will abide by the terms of the CICA Mentorship Framework and the Mentor/Mentee Partnership Agreement. Please check the box below to indicate your agreement.
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