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Mentor Application Form

We appreciate your interest in becoming an e-Mentor! Our program would not exist without dedicated volunteers like you.

Please fill in the application and submit it by clicking on the button below. Your application will be processed within three business days and CanadaInfoNet will contact you, via e-mail to finalize any details.

Once your application is submitted, you will be able to download our e-Mentor ToolKit and join our Mentoring Coordinator's Discussion for live, interactive training and support.

About Password:   No employee or member of CanadaInfoNet would ever ask you to reveal any information, such as a password.  In the form below, you are requested to create a password for accessing the various CanadaInfoNet e-Mentor forums.

Please complete this profile. Some information will be displayed in our e-Mentor Program Gallery:

  First Name: *
  Last Name: *
  Email Address: *
  Password: *
  Phone Number: *
  Street Address:
  Suite:
  City: *
  Province: *
  Country:
  Postal Code:
  Time Lived in Canada: *
  Language(s) Spoken: *
  * - Required Field