Mentorship Participant Form

Thank you for being a part of Creative Manitoba's mentorship programming! Please fill out the following form as completely and accurately as you are able so we can cater to any accessibility or dietary needs as necessary, as well as publicly credit you for any work that may be shared.

Mentorship Participant Form

What mentorship program are you participating in?

Professional Mentorship

Rural Mentorship

I consent to be added to the 2025/26 Professional Mentorship contact list, to be distributed to the participants for connecting purposes

Yes

Your Name (Name you choose to go by professionally, and when credited publicly)(Required)

Which mentee/mentor are you working with in your mentorship program?(Required)

Email(Required)

Your email will not be made publicly available or used in any of the content created for the website, newsletter, or social media.

Phone(Required)

Your phone number will not be made publicly available or used in any of the content created for the website, newsletter, or social media.

Website

Social Media Channels

Pronouns(Required)

Accessibility

Please let us know of any of your access needs. This could be accessibility or mental health related, anything you would like to share so we can better support you.

Dietary Needs (if applicable)

Please list any food allergies

Mentorship Participant Form