Email address

Full Name

Phone Number (WhatsApp)

Gender Choose gender Male Female Prefer not to say

Which best describes you Choose Student Employed Graduate Unemployed

Location

Age

What areas area will you want to mentor on? Choose Career plannng Networking and career building CVs and application Managing challenging situations and conversations work-life balance Skill aquisition Other

Are there any other issues or challenges which you would like to address with your mentor?

What are your career goals and objectives?

Why do you want to be a mentee? What would you hope to achieve from it?

Please provide any additional information you feel will be useful for the matching process(interests, hobbies etc)

What relevant skill or certification do you have?

Please indicate how you would prefer to meet with your mentor Choose Face-to-Face(15,000) Video conferencing(10,000) Phone(7000)

How often would you be prepared to have contact with your mentor? Choose Once a week Twice a month Once a month Other