Professional Mentorship Program - Mentee Application Form

Demographics & Contact

Mentee Name*

First Last

Pronouns:*

Phone number*

Email*

Email Confirm Email

Social Media handles / website

Age as of October 18, 2024*

(This program is available to mentees age 19-29)

Creative Discipline*

Please select your primary discipline.

Other

Please indicate your Creative Discipline if not covered in the above list.

Self Identity

Creative Manitoba is seeking to offer meaningful programming and opportunities to equity-seeking groups, which includes members of visible minorities, persons with disabilities, Indigenous peoples, members of sexual minorities, as well as Immigrants and Newcomers to Canada. Please check the equity-seeking groups with which you identify from the list below (check all that apply). Creative Manitoba pledges to make best efforts to hold 50% of program space for participants identifying as IBPoC or from equity-seeking groups.

If you self-identify in a way not captured here please let us know

Please check all that apply to your current situation:*

Working part-time
Working full-time
Attending school part-time
Attending school full-time

Mentor Information

Mentor Name*

List the mentor you are applying for the program with. They must also submit their form for your application to be complete and considered.

First Last

Mentor's Email*

Mentor's Phone number*

Nominator Information

Nominator Name*

Your nominator must be someone familiar with you/your work, other than the mentor you’re applying with or an immediate family member. They must submit their form for your application to be complete and considered.

First Last

Nominator's Email*

Nominator's Phone number*

Tell us about you

Artistic Background*

Briefly summarize your experience in the chosen artistic discipline. This can include formal, informal training, and any other experience. (Max 150 words)

Attach any examples of your work, if applicable

Examples could be: visuals of artwork, headshot, resume, audio file (max 3 files)

Drop files here or

Accepted file types: jpg, png, pdf, word, mp3, Max. file size: 64 MB, Max. files: 3.

Add link to examples of your work, if applicable

Examples could be: website, link to videos or films, music, visual gallery of work

Professional Mentorship Program Proposal

Program Proposal*

Provide a detailed program plan that you and your mentor have agreed upon. Is there a specfic project or goal you’d like to achieve? Are there specific skills you’d like to improve? Are there opportunities to shadow your mentor”s professional work during this time? Are there additional connections you’d like to make with others in the industry with their help? Be as specific as you can, and include details you and your mentor have decided on in terms of timeline and communication (Max 250 words)

Career Perspective*

Explain why you feel this is an optimum time in your career trajectory to participate in this mentorship program, and how it may help you in your artistic career right now. Why do you want to work with this specific mentor, and why now? (Max 150 words)

Additional Comments

If there is anything you feel was not covered in this application that would be helpful for us to know, please include here. (Max 100 words)

Program Commitment Declaration*

I have read, understand and am committed to all program commitments and have gone through them wth my proposed mentor who also understands the commitments.

Yes

Mentor & Nominator Form Declaration*

My mentor and nominator have also submitted their forms. I understand these 2 additional forms are required before the deadline for my application to be complete and considered.

Yes