EmailMe Form - HPMP 2019 - Mentee Application Form

Housing Professionals Mentorship Program 2019 - Mentee Application Form

Name *

First Last

Email *

Phone

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

City, Province/Territory *

Language preference

I self identify as:

Indigenous (First Nations, Métis, Inuit)

Francophone

I prefer not to respond

Your response is voluntary and you may select more than one option.

Type of organization currently employed at

Name of organization/employer/university

Current role

Years of experience in housing industry

What is the career path or specialization that you wish to explore through the mentorship? *

Other:

What are the top three goals you hope to accomplish through your mentoring relationship? *

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

Other:

Where would you prefer your mentor to be based? *

If you selected that you would prefer your mentor be based in your city or in your province/territory, please indicate what is most important to you:

Location of mentor

Mentor match that aligns with my goals

Please provide a brief overview of your interest in participating in the Housing Professionals Mentorship Program, along with any additional information you wish to share (max 300 words) *

The Housing Professionals Mentorship Program will include a 1-day Leadership and Networking Event for participants. The event will be free to attend, with some bursaries available to assist with travel costs. Please indicate where you are more likely to attend this event. *

Victoria, BC (week of April 1 2019 - CHRA's Congress)

Toronto, ON (week of March 25 2019 - HSC's Regeneration Forum)

No preference

It is unlikely that I will attend

I understand that there is a minimum 25 hour requirement to participate as a mentee in this program, and am committed to working with a mentor over the 6 month program. *

YES

NO

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

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 resume (required) and bio (optional) in one file. *

There is a $350 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 in November and required to submit your registration fee at that time.