EmailMe Form - HPMP- Mentee Application Form

Housing Professionals Mentorship Program - Mentee Application Form

Name

First Last

Email

Phone

### - ### - ####

Location/time zone

Language preference

I self identify as

Indigenous (First Nations, Métis, Inuit)

Francophone

I prefer not to respond

Your response is voluntary and you may identify in more than one designated group.

Current role:

Type of organization currently employed at

Name of organization/employer/university

Does your organization/employer fully support your participation and time commitment to this program?

YES

NO

Years of experience in housing industry

Career path/specialization

What are the top three things you hope to accomplish through your mentoring relationship:

Hold down the control or command key to make multiple selections.

Preferred method of communication with mentor

Where would you prefer your mentor to be based

Please provide a brief overview of your interest in participating in the Housing Professionals Mentorship Program, along with your key goals and objectives (max 300 words)

I understand that there is a minimum 25 hour requirement to participate as a mentee in this program, and am committed to working with the mentor identified over this time period. *

YES

NO

I am a current member of: *

CHRA (Canadian Housing and Renewal Association)

HPC (Housing Partnership Canada)

CIH (Chartered Institute of Housing ) Canada

In order to participate in the Housing Professionals Mentorship Program you, or your organization, must be a member of at least one of the partner organizations.

Please attach your bio and resume (in one file)

There is a $500 cost for the mentorship program. Will this cost present a barrier for your participation in the program?

YES

NO

If yes, please provide a brief (1-2 sentence) explanation in the comment box below.

Applications will be evaluated based on eligibility, and a clear articulation of the reasons for which you are interested in participating in the mentorship program, in comparison to the standing of other applications. Selection will also be evaluated based on the provision of finding a suitable match, as well as ensuring program participant representation and diversity from across Canada.

If your application is successful, you will be notified by DATE and required to submit your registration fee at that time.