2024-25 MBA Mentorship Program Registration

2024-25 MBA Mentorship Program Registration
Welcome to the MBA Mentorship Program!

Please fill out the following form to help us assess how we can best support you and pair you with a mentor. Please note that although we will do our best to pair mentees with a mentor of their choice, this process takes into consideration a variety of factors including capacity, distribution of workload, and geography and cannot guarantee a specific pairing.

There is a kick-off session on September 17, 2024, 7:30pm by Zoom. You will be autimatically registered for this session and sent a Zoom link upon submission of this form.

If you have any questions please contact Brent Johnson, Executive Director, at executivedirector@mbband.org or 204-663-1226.
Name*

First NameLast Name
Pronouns*

She/herHe/himThey/themOther (please specify your preferred pronouns)
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Are you a current MBA member?*

YesNo
School*
School Division*
Subjects/classes you currently teach:*
Grade(s) you currently teach*

Early YearsMiddle SchoolHigh SchoolOther (please describe)
Teaching Experience*

I am a first year band teacherI am in my second year of teaching bandI am in my third year of teaching bandI am an experienced teacher new to teaching bandOther (please describe your experience)
Preferred Mentorship Experience(s) (you can choose more than one)*

In-person school visitOnline conversationPhone ConversationOther (please describe)
What do you hope to get out of your MBA Mentorship experience?*
Please tell us if there are mentors that you would be particularly interested in working with

Bill KristjansonEric MarshallFraser LinklaterJanet YochimOther (please tell us who you have in mind)
Our first virtual event will be a kick-off information session held on Zoom on Tuesday, September 17, 2024 at 7:00pm. Are you able to attend?*

YesNo
Our first in-person event, The MBA Mentorship Prelude Day will take place Friday, October 4, 2024 simultaneously in Winnipeg and in _______. The morning will be spent observing experienced music educators Vanessa Nowostawski or _______ at their respective schools, followed by lunch (provided), and then an afternoon discussion addressing relevant topics generated by participants. Are you able to attend?*

Yes, in WinnipegYes, in __________No
Are there any specific topics or areas of focus that we can help you with either through visits with your Mentor or through Professional Development sessions?
Do you have any additional questions or comments?
Should be Empty: