Mentor Application Form -- Kingston
Hello! Thank you for your interest in our program. Please complete the following application to be considered as a mentor.

Note that we require a criminal record check (Level 3 - Vulnerable Sector Check) at your earliest convenience - you can apply directly through the K-PIC software (https://policechecks.kpf.ca/) or send it to us at gsmkingston.mentor@gmail.com

Once we have received your completed application, we will be in touch via e-mail to connect you directly with one of our mentees.  

For any specific questions, please contact itsagirlsystem@gmail.com

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First and Last Name *
Email Address *
Phone Number *
Current Position/Title *
Current Work Place *
Highest level of education completed *
What "fields of study" is your current/most recent role most closely related to? *
How many years of experience do you have in your designated professional field? *
Do you have previous experience with supervision/mentorship? *
If you do have previous experience mentoring, please expand (under 200 words).
Briefly outline the skills, experiences, or expertise you are interested in sharing with a mentee. *
When will you be available to mentor? *
I agree to mentor through: *
Required
If there's anything you would like to tell us that would help us match you with a mentee, please do so here! This can be anything – personal or professional interests, preferences as to the age of your mentee, etc.
What do you hope to gain as a STEM mentor? *
We have identified 5 specific areas of learning for mentor/mentee pairings. Please rate your preferences from 1 to 5 based on your knowledge and experience, 1 being most preferred.
Due to limitations of Google Forms, the next 5 questions will be your rankings. So you are able to decide beforehand, the areas of learning are:
1. Effectively managing the transition from high school to university/college
2. Looking for internship/work-study/volunteer opportunities
3. Developing and building strong workplace skills (resume writing, problem solving, negotiating, interviewing, time management, leadership)
4. Managing work/school-life balance
5. Brainstorming future avenues and career opportunities

Effectively managing the transition from high school to university/college *
Looking for internship/work-study/volunteer opportunities *
Developing and building strong workplace skills (resume writing, problem solving, negotiating, interviewing, time management, leadership) *
Managing work/school-life balance *
Brainstorming future avenues and career opportunities *
Who else should we be talking to? In other words, if you have any contacts you think would be interested in our program (as a mentor, community partner, advisor, etc) please write their information here
We ask that mentors commit at least 2 hours a month to mentorship. How much time would you be willing and able to put into our program? *
How did you hear about our program? *
I have recently completed a Level 3 Vulnerable Sector Criminal Record Check (this is a requirement to be a mentor) *
Required
If there's anything else you would like to add, please do so here!
Thank you!
Thank you for your interest in Girls SySTEM Mentorship and for taking the time to fill out an application. You will be hearing from us shortly.  Please follow us on our social media pages and subscribe to our monthly newsletter.

Instagram: @girlsystem.mentor
Facebook:  Girls System Mentorship Program
Website: www.girlsystemmentorship.com
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