Please Indicate the Workshop You Are Applying to Attend

Women Mentoring Women for Inclusive Leadership
Application for the Kitchener and Ottawa Workshops /
INSTRUCTIONS
·  Each workshop will include TWO women—one person in a leadership position and one emerging leader—from up to ten NFP organizations.
·  The application form must be completed by TWO applicants from your organization.
·  Please return your application form* to by September 5, 2017.
*To be considered, the form must include two applicants.
·  All complete applications received by the deadline will be included in a review process.
PLEASE INDICATE THE WORKSHOP YOU ARE APPLYING TO ATTEND
___Kitchener, Sept. 19 (English) ___Ottawa, Sept. 27 (English) ___Ottawa, Sept. 28 (French)
Organization Information
Organization Name:
Address:
Website:
Applicant #1 - MeNTOR
First Name: / Last Name:
Position:
Email: / Telephone:
APPLICANT #2 - MENTEE
First Name: / Last Name:
Position:
Email: / Telephone:
Statement of Interest
·  Please include a brief statement of why you would like to participate in this program and what you would like to get out of it.
·  Statements for both applicants can be completed together or separately.
Please tell us how you heard about the program