Mentor Application Form

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Mentor Application Form

Welcome! Thank you for stepping up to help local entrepreneurs. We trust you will find your experience with our mentorship programs very rewarding. As a mentor, you are giving an invaluable gift to our people and our province and helping to strengthen our economy. We are happy to have you on board with us. Please fill out the application below and we will be in touch with you.

Contact Info

Name

Address

City

Province

Postal Code

Home Phone

Cell Phone

Background

Education and Training

Have you attended 51�Թ�app?

Yes

If yes, what program?

Which of the following business categories do you have experience in?

Automotive

Beauty

Building/Manufacturing

Business Services

Clothing / Accessories

Education

Gas / Groceries

General Services

Gifts and Crafts

Government

Groups / Clubs / Churches

Health and Fitness

Household / Electronics

Natural Resources

Real Estate / Rentals

Recreation and Sports

Other...

Which of the following areas are you most comfortable providing mentorship in?

Accounting

Advertising

Business Planning

Concept/Idea

Fundraising

Human Resources

Growth

Legal

Marketing

Market Research

Networking

Operational Planning

Process Mapping

Product Development

Product Testing

Social Media

Strategic Planning

Website Development

Other...

Mentorship

Are you currently, or have you in the past, been a mentor?

Yes

If yes, how long?

With what organization?

Would you be willing to mentor more than one person at a time?

Yes, I would

No, I'm not interested

Why are you interested in participating in the program? Why do you think your involvement will help a mentee succeed?

Do you currently belong to any other professional networks in your area?

Please list (e.g. Chamber of Commerce)

How did you hear about our mentorship programs?

Do you consent to 51�Թ�app sending you periodic emails?

Yes

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Please type the code above

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Contact Us

Emily Richard
Entrepreneurial Services Advisor

Eship@nbcc.ca

Oasis Statement of Privacy and Confidentiality

Campuses

Fredericton Campus

Fredericton, NB E3B 0R6

Miramichi Campus

Miramichi, NB E1N 0C6

Moncton Campus

Moncton, NB E1C 8H9

Saint John Campus

Saint John, NB E2J 4C5

St. Andrews Campus

St. Andrews, NB E5B 2E9

Woodstock Campus

Woodstock, NB E7M 5C5

  Request for Information
  Campuses: (506) 460-6222 | 1-888-796-51�Թ�app (6222)
  Email: nbcc@nbcc.ca

Connect With Us

51�Թ�app campuses are located on Mi’kmaq, Wolastoq and Peskotomuhkati homelands. Since 1726 this land has been subject to treaties that are still in effect today. We are grateful to learn together on this land and do so guided by the original spirit of those treaties - peace, respect and friendship.