MENTEES' REGISTRATION FORM


TITLE Miss  Ms  Mrs 
LAST NAME*
FIRST NAME*
DATE OF BIRTH
AGE
CONTACT NOS.*
EMAIL ADDRESS*
WHAT'S THE BEST WAY TO CONTACT YOU?
INSTITUTION* (SCHOOL/WORK)
CURRENT LEVEL OF EDUCATION* (TICK AS APPROPRIATE)
Senior High Sch.  Diploma  1st Degree  Masters & Above  Other 
ARE YOU STILL IN SCHOOL? Yes  No 
AREA OF STUDY/POSITION AT WORK/OCCUPATION*
       
SUBMIT A BRIEF PERSONAL PROFILE BELOW* (UP TO 250 WORDS)
       
PREFERRED AREA OF MENTORING
Please DO NOT SELECT MORE THAN 3 categories
(It will help us match you better with a mentor, although we cannot always guarantee a perfect match)
PROFESSIONAL
Academia/Teaching
Governance & Politics
NGO & Civil Society
STEM (Science, Tech., Engin. & Maths)
Legal
Media & Journalism
Business & Entrepreneurship
Marketing & Advertising
Banking & Finance
Music, Theatre & Art

WHAT ARE YOUR ASPIRATIONS?* (UP TO 250 WORDS)
       
WHAT DO YOU EXPECT TO GAIN FROM THIS PROGRAM? (UP TO 250 WORDS)
HOW DO YOU INTEND TO USE YOUR EXPERIENCE FROM THE MENTORING PROGRAM?* (UP TO 250 WORDS)
HOW DID YOU HEAR ABOUT MENTORING WALK? Please tick as many as are available


Newspapers
Radio
Television
Internet/website


ARE YOU AVAILABLE FOR THE ENTIRE PERIOD OF 6th TO 16th MARCH 2019?*
Yes    No   

Please note that we have very limited slots. Please ensure that you are fully available to participate, so as not to deny someone else the opportunity.

I certify that the above information is written and submitted by me. Signed:
Thank you for completing this application form and for your interest in this inter-generational mentorship programme.
*Kindly note that you will be required to be present to participate in all the activities of the mentoring program.
Should you encounter any difficulties in filling the form, please email ghana@mentoringwalk.org or gcm@mwghana.org
   

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About Us

Mentoring Women Ghana is a non-profit organization established in Ghana whose objective is to grow young women through mentoring by more mature and accomplished women, and through sports,  in order to imbue them with leadership qualities with which they can positively impact their communities. Our main programs are Mentoring Walk and Hoop Sistas Club.

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  • 37 Gamel Abdul Nasser Avenue, Opposite 11th Road, Ringway Estates, Accra, Ghana
  • +233 302 264823 / +233 302 264824
  • +233 244 323822 / +233 262 323822
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