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Company Name:
Type of Service:
Area to Apply:
Preferred Method of Communication:
Current Job Title:
Current Employer:
Years of Professional Experience:
Degree(s) Obtained:
Bio
Referee 1
Name:
Referee 2
Name:
Number of mentees that can be mentored simultaneously
Expertise and experience in these other areas
Mentoring philosophy
Previous experience as a mentor in any capacity? Please briefly describe your experience.
Request
Please fill the form below
What are your institutional challenges and what specific goals do you have for the training and mentorship program?
Are there any other specific skills or topics you hope to focus for training and/ormentorship?
What area(s) or field(s) are you seeking mentorship or training in?
Leadership
Strategic visioning and planning
Effective governance
Human resource and Finance management
Resource mobilization
Project development and implementation
Communications and branding
Partnership and network building
Organizational development and Change management
Availability and Commitment:
How many hours per week can you commit to the mentorship program?
Select
3-5
6-10
10 hours and above
What is your preferred method of communication with your mentor?
(Video Calls and emails is mandatory. Choose any other that applies)
In-person meetings
Video calls
Phone calls
Email
Other
Background and Interests:
Please provide a brief overview of your organisation’s background and interests.
Additional Information:
Has your organisation participated in a training and mentorship program before? If yes, please briefly describe your experience.
Has your organisation participated in an organizational development assessment program before? If yes, please briefly describe your experience.
Is there anything else you would like us to know about you as we consider your application for the training and mentorship program?
I acknowledge PLRCAP's Non-involvement in the hiring process of Mentors
I hereby declare that the information provided in this application is true and accurate to the best of my knowledge.
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