ygap First Gens Mentor Registration Form

ygap First Gens Mentor Registration

Please fill in the form below.
Full Name*

First NameLast Name
Organisation*
Position*
E-mail*

Confirmation Email
Phone Number*

Area CodePhone Number
City*

Street Address

Street Address Line 2

CityState / Province
What sector/industries do you have significant expertise in (select up to 5)?*

AgricultureReal EstateArts & CultureMedia & TelecommunicationsWholesaleManufacturingFinancial ServicesEducationHealthcareEmploymentSocial ImpactGovernmentConsultingLegalRetailFood & DrinkConstruction / TradesHospitality & TourismRoboticsOccupational Health & SafetyDisabilityICT / TechnologyMental HealthOther
What skills, capabilities and experience would you bring as a mentor (select up to 5)?*

BrandingFinance & AccountingStrategyMarketingLegalCommunicationsHuman ResourcesInvestment ReadinessLeadershipManagementFundraisingPitchingSocial MediaPartnershipsSocial ImpactMarket ResearchApp / Software DevelopmentWeb DevelopmentGraphic DesignSalesStart Up / EntrepreneurshipStakeholder RelationshipsImpact MeasurementGrant WritingBusiness Model ValidationBusiness DevelopmentConstruction / TradeOther
Why do you want to get involved with the ygap First Gens Mentorship Program? *
What form of mentorship are you interested in providing? (select as many as you wish)

Lead a Master ClassOnce-off Mentor session (typically one meeting of 30-60 mins)Ongoing Mentoring (multiple series of meetups over a period of time)
Do you have mentorship experience?*

YesNo
If yes, please elaborate on your mentorship experience, including why you would make a good mentor.
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