Mentorship Program Application Interested in Mentoring? Want to be a Mentee? If yes, please complete and submit the form below. Your Name:*IABC Member ID Number:*Are you interested in becoming a mentor or a mentee?*MentorMenteeHave you participated in IABC/Toronto's mentorship program before?*NoYesWhat type of membership do you have with IABC?*500 ClubCorporateFellowProfessionalRecent GraduateRetiredStudentWhat city are you located in?*Do you have a preference to where the person you are paired with is located?*IABC/Toronto has members from across the GTA, as well as several other regions in Ontario. We will do our best to pair participants based on preferences.No preferenceYes, should be located in same city as I noted aboveYes, should be located within 25km of the city I noted aboveYes, should be located within 50km of the city I noted aboveYes, should be located within 100km of the city I noted aboveName of the company you currently work for:*If unemployed, please note NA. If freelance, please note your company name or your name. If a student, please indicate what school you are enrolled at.Email* Preferred phone:LinkedIn handle:Twitter handle:Do you grant IABC/Toronto permission to share your contact information (as provided to us above) with your pairing once confirmed?*YesNoWhat is your preferred method of communications with your mentor/mentee?*Please select all that apply. In person IABC events Phone email Skype (or other facetime service) LinkedIn Facebook Please indicate your level of experience:*StudentNew to communications (less than one year)Junior (1 to 5 years)Intermediate (6 to 12 years)Senior (13+ years)Which sectors/industries are you most interested in being paired within?*Please indication all you have experience with and/or are interested in. Accounting / Banking / Finance Advertising / Public Relations Agency Charity / not-for-profit Corporate Education Energy / Environmental Events Fintech / Technology Healthcare / Pharmaceutical Insurance Legal / Politics Manufacturing Retail / Services Sports / Entertainment Telecommunications Transportation Please list any sectors or organizations that you are NOT interesting in being paired with.What are you hoping to get out of the program?Is there anything else you’d like us to know that may assist us in pairing you?EmailThis field is for validation purposes and should be left unchanged.