WIMBIZ MENTEE APPLICATION FORM
Thank for your interest in attending the 2019 WIMBIZ Mentoring Program, To register, Kindly fill in your details in the form below or tick the necessary information.
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Title *
First Name *
Last Name *
Phone Number: *
Email Address *
Contact Address *
State of Residence *
Age *
Civil Status *
Highest Educational Qualification *
Employment Status *
Name of Organisation *
Present Job Title *
Sector *
Are you a WIMBIZ Associate? *
To assist in matching you with a mentor, please tell us a little about yourself
What are your Top Career and Business Goals? *
How do you plan to achieve them? *
What have you done in the past two years to develop yourself in line with your career/business goals? *
Why do you need a mentor? *
Why should you be selected as a mentee? *
Have you ever had a mentoring relationship? *
Was it beneficial?
Clear selection
If Yes, How?
List three attributes you would like in a mentor? *
Will you be willing to commit to a full day mentoring training? *
Comments( kindly supply any other information that you think might be important in the selection process) *
Please provide your short profile (not more than 200 words) *
Additional Information
Please send your passport photograph and CV to mentoring@wimbiz.org using the subject title "Mentee - Your fullname" on or before Monday, January 14, 2019
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