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Mentor Signup
All information will be kept strictly confidential and will be used for internal purposes only.

About You
Mentor Application Date
07/25/2017
* First Name
* Last Name
* Gender
MaleFemale
* City
* Work Phone Number
Work Phone Number ext.
Cell Phone Number
* Work Email
Alternate Email
* Which is the best way to contact you?
About your education
* Highest Level of Education attained
* Education specializations(Please select up to three specializations)
Education Specialization Other
About your employment
* Employer Name
Employer Address
City
Province
Postal Code
* Job title
Short description of your duties
How long have you been working for your current employer?
Years with current employer
Months with current employer
Resume/Bio
Please include a current copy your resume/bio here (.pdf, .doc, .docx, .txt formats only)
No file is currently uploaded.
Upload File
Or provide us with the URL on your LinkedIn profile (if it is completed)
Matching
* What is your main industry experience?
Industry Experience Other
Please list any professional association/affiliations to which you belong
What professional background would you prefer your mentee to have?
* What is your gender preference in a mentee?
Confidentiality
* Do you give ERIEC permission to share your professional background with your mentee before meeting him/her?
YesNo
How did you hear about us?
If other, let us know how
By submitting this application, I certify that the information provided in this application is true and complete to the best of my knowledge. I realize and accept that the Edmonton Region Immigrant Employment Council will rely on this information as they undertake their review of my application for the Career Mentorship program.