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General information
Experience and interests
Have you ever participated in a mentor program?*
Interests/Hobbies*
Availability (preferred mode of communication, time of the day, transport constraints)*
Why do you wish to participate in the mentor program?*
What are the objectives that you would like to achieve by participating in the mentor program?*
Other information that may be pertinent to the processing of your application*
All of the fields must be filled.
Please check at least one of the checkboxes
Thank you for completing the form for the mentee program. The committee will contact you shortly with more information for the next cohort.