MENTORSHIP PROGRAMME: 001

MENTOR’S APPLICATION FORM

MR/MRS/MS/REV/DR (Other)

 

                                                            /                                     /

Title & First Name                                                  Middle Initial(s)                                                   Last Name                                   

Address                                              

(H)                                                             / (W)                                                                / (C)

Phone

Best time to call (include days of the week)

Job Title (if applicable)

Name and Address of place of Employment (if applicable)

Areas of Expertise / Training 

Professional Certifications (if applicable)

Why would you like to become a Mentor?

How did you hear about the Mentorship Programme?

What will you add as a *STRENGTH* if accepted into the Mentorship Programme?

What exactly *ATTRACTED* you to/about the Mentorship Programme? Why are you here?

What is your *STORY,* who are you truly? How would you describe yourself, i.e., your Character?

P.S.  If there’s anything else you feel is important for our MENTORSHIP PROGRAMME COORDINATING COMMITTEE to know about you personally that you haven’t already included within the questions above please include, along with any last-minute comments here below:

Any questions or concerns please contact:

CHRIST IS THE ANSWER FAMILY CHURCH

LITTLE BATTALEYS

ST. PETER
BARBADOS, W. I.

E-MAIL: citafc@caribsurf.com

TEL: (246) 422-2148

FAX: (246) 419-0793

OR: Any representative of the Mentorship Programme Coordinating Committee.

OOW
2010