Become a Mentor Application Form
Thank you for your interest in becoming a mentor at the MendingTV Global Mentoring Hub - Africa! Our mentors play a vital role in inspiring and guiding individuals to reach their full potential. Please complete the form below to join our mentorship community.
Name of Applicant
First Name
Last Name
Title/Position
Highest Educational Attainment
Phone Number
Please enter a valid phone number.
Email
example@example.com
Civil Status
Single
Married
Divorced
Widowed
Preferred Method of Contact:
Phone
Email
WhatsApp
Other
Other please specify:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Areas of Expertise: (Check all that apply)
*
Career Planning
Governance
Work-life balance
Project Management
Leadership
Community Engagement
Dispute Resolution
Strategic Planning
Creative Writing
Finance Management
Computer Literacy
Education
Entrepreneurship
Other
Briefly describe your professional background and relevant experience:
Based from your choices above, please describe the areas which you can be helpful of in providing mentoring.
Mentoring Preferences
Why do you want to be a mentor for Mending TV?
Can you be a mentor for more than one person at the same time?
Please specify if you prefer a one-on-one mentoring session or a group mentoring session
What topics or skills are you most passionate about mentoring in?
Please specify if you prefer a one-on-one mentoring session or a group mentoring session
Preferred mentee age group:
Youth (13-18 years)
Young Adults (19-25 years)
Adults (26+)
No Preference
Preferred mentoring style:
One-on-One
Group Mentoring
Virtual Mentoring
In-Person Mentoring
Flexible
Availability (Check all that apply):
Weekdays
Weekends
Evenings
Flexible
Mentoring Experience
Do you have previous mentoring experience?
Yes
No
If yes, please describe:
How do you plan to support and inspire your mentees?
Additional Information
Do you have access to the following? (Check all that apply)
Reliable Internet Connection
Smartphone
Computer/Laptop
Transportation for in-person sessions (if applicable)
Do you have any special skills, certifications, or languages you can offer?
Are there any specific goals you hope to achieve through this mentorship program?
Do you have any questions or additional comments?
Agreement & Consent
By submitting this application, I confirm that the information provided is accurate and complete. I understand that being a mentor involves commitment, active participation, and upholding the values of MendingTV.
Signature
Date
-
Month
-
Day
Year
Date
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