Mentorship Program - Mentor Application
Name
First Name
Last Name
Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you self-identify as any of the following? Please select all that apply.
Francophone
Indigenous
2SLGBTQIA+
Persons with Disabilities
Woman
Other
Are you a member of On Screen Manitoba?
Yes
No
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What areas are you interested in being a mentor for?
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