Mentor Application

Name

Phone

Street Address

City

Province

Postal Code

Application Date

Website (optional)

https://

Mentors must be at least 60 years old. Please confirm that you are:

Yes

If you have listed more than one discipline, in which one would you like to mentor?

For how many years have you been practising your art [does not have to be consecutive]?

Please list your professional affiliations.

Tell us why you are interested in being a mentor and what makes a mentorship successful.

Please tell us about any experience you have had as a mentor.

How did you discover our program? (optional)

Please give us a brief description of your work and what you can teach a mentee. This is like an 'elevator pitch' and will be added to the Mentor Match page of our website [up to 100 words].

0/100 Max words

Sometimes our mentors and mentees live in different communities. Would you be comfortable with a mentorship that took place via an online technology such as Zoom?

Yes

With a Little Help

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