Achievement In Motion (A.I.M.) Mentorship Program Application Form
Thank you for confirming your interest in wanting to learn more about the program. The information contained on the completed form is confidential and will not be shared with any persons other than the Mentorship Committee.

We request that you complete this form as fully as possible.The information you provide will help us to match you with a mentor that is looking to help with the refining of skills, capacities, and competencies in ways that best meets your area(s) of interest
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Contact Details
First Name *
Last Name *
Email *
Phone Number *
City *
Mentoring Information
Mentee Participation in the program is from September to April. The amount of time you commit to the program is to be determined by you and your mentor; however, we suggest that you connect with your mentor at least once a month through a channel agreed upon between the two of you (in-person, Zoom, Google Meets). As well, mentees will be asked to take part in a 2-hour long group mentoring session twice a month with other mentees of the program to grant them the opportunity to grow their network and connect with other like-minded people. Is this something you can commit to? *
Please select from the list below the areas you would like to be mentored on *
Required
Where do you see yourself 5-10 years from now? *
What are your career goals and objectives? *
 Please tell us a bit more about yourself to help us pair you with an appropriate mentor *
What do you hope to gain by being part of the A.I.M. mentorship program? *
General comments that you feel are important for us to know *
Have you been a mentee before – formally or informally? *
If you answered yes to the previous question, may you please indicate in what area the mentorship focused on? *
Mentoring contact preferences
Please indicate how you would prefer to meet with your mentor *
How often would you be prepared to have contact with your mentor? *
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