STAWI Mentorship Program

First Name *

Middle Name

Last Name *

Email *

Location *

If other:

How do you identify? *

If other:

Company or Organisation name: *

Website URL of company (if applicable)

Your LinkedIn profile URL (if applicable)

If other:

What does your company do or provide in terms of products and services?

Please provide a brief professional biography (max 500 characters, or approximately 100 words)

What other professional disciplines do you have experience in?

How many years have you spent in your professional career to date? *

What valuable skills and experiences do you posses that would benefit your mentee? *

At which stage(s) of the business can you help an entrepreneur the most?

Pre-Startup – still planning the business Startup – In business for up to 2 years already Growth – In business more than 2 years Any of the above

Have you ever been a Mentor to an Mentee before? *

If yes, please give some details, but don't include personal information!

What are your top reasons for wanting to become a Mentor?

If other:

How much time can you commit to the program on a weekly or monthly basis?

Which form of mentorship do you have capacity for? (Select all that apply)

1 on 1 (ongoing mentorship for 4 months) Mentorship on demand (random on an as needed basis)

Please list your top 5 values (in order of priority)

What are your favourite hobbies or activities (please list a minimum of 3)

Password Password Confirm

_{Must have at least 8 characters
Must have at least one upper case character
Must have at least one lower case character
Must have at least one number
Must have at least one special character}

Security questions

I went to high school in the city: *

My first car was a: *

My favourite colour is: *

Mentoring agreement

I agree to the Mentoring Agreement

I agree to the Code of conduct

I agree to the Privacy policy

Mentor Profile

Security questions

Mentoring agreement