2023-24 Mentorship Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the MBA Mentorship Program!

Please fill out the following form to help us pair your with a mentor. Please note that although we will do our best to pair mentees with a mentor of their choice, this process takes into consideration a variety of factors and cannot guarantee a specific pairing.

If you have any questions, please contact Kim Pelletier, MBA Interim Executive Director, at executivedirector@mbband.org or 204-663-1226.

Email *

Mentee Name: *

Pronouns: *

She/Her

He/Him

They/Them

Prefer not to say

Other:

Email Address: *

School: *

Are you an MBA member? *

Yes

Teaching Experience: *

I am a first year teacher

I am in my second year of teaching

I am in my third year of teaching

I am an experienced teacher new to teaching band

Other:

Preferred Mentorship Experience (Choose all that apply): *

In-Person Visitation

Online Conversation

Phone Conversation

Other:

Required

Briefly describe what you hope to get out of your MBA Mentorship experience: *

Please indicate if there are mentors that you would be particularly interested in working with:

Bill Kristjanson

Eric Marshall

Fraser Linklater

Janet Yochim

Other:

Our first in-person event will be Thursday, October 19th 2023. The morning will be spent observing seasoned teacher, Darryl Ferguson, followed by lunch and a discussion addressing topics generated by participants. Are you able to attend? *

Yes

Required

Use this space for any additional questions or comments:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Manitoba Band Association. Report Abuse

Forms