CGLCC | OUT For Business – 2022 Mentor Application Form

Overview

CGLCC is looking for 2SLGBTQI+ entrepreneurs or established professionals to volunteer as a mentor for the CGLCC OUT For Business program. Here you will be matched with a 2SLGBTQI+ entrepreneur and over 12 months you will provide support and guidance to grow their business. We ask that you share all of the experience and expertise you have gained through one-on-one and team mentoring. Tap into your experience to help your mentee navigate the journey of an 2SLGBTQI+ entrepreneur, sharpen their business skills and expand their network.

NOTE: This application will not be saved if you exit this window. Please ensure you complete the form in one sitting and we recommend saving your answers in a secondary document so no work is lost.

NOTE: Please check ALL options below to proceed.

I am an entrepreneur and/or established professional*

I am available and will commit to at least one monthly mentoring meeting (time commitment dependant on mentor/mentee availability) from September 2023 to August 2024*

I am a part of the 2SLGBTQ+ community and willing to be publicized as such*

Have business experience, preferably in running a small business/enterprise or holding a senior role in a corporate business environment*

First Name*

Last Name*

Pronouns *

They/Them She/Her He/Him Zie/Hir Ey/Em Xe/Xem Other

If Other please specify:

What gender do you identify with? *

Cisgender Man Cisgender Woman Trans Man Trans Woman Non-Binary Two-Spirit Prefer not to disclose Prefer to self-describe

If Prefer to self-describe please describe:

How would you describe your sexual orientation? *

Asexual Bisexual Homosexual Heterosexual Pansexual Queer Questioning Prefer not to disclose Prefer to self-describe

If Prefer to self-describe please describe:

Do you personally identify with any of the following diversity groups? Please select all that apply

Person with a disability?*

Indigenous persons*

If yes, please choose from the following:

Metis Inuit First Nations

Persons who are from a visible minority group (Visible minority groups include someone, other than an Indigenous person, who is non-white in colour/race, regardless of place of birth)*

If Other please describe:

Email*

Phone Number*

City/Town*

Province/Territory*

Current Employer*

Current Role*

Why do you wish to participate in this program as a mentor?*

What are 5 characteristics that you feel you possess and will contribute to the success of your mentoring relationship?*

What are you looking for in a mentee and what expectations would you have?*

What experience do you have with mentoring relationships – either as a mentor or a mentee, or both?*

How will you personally measure the success of your relationship?*

Are you willing to take measures to help ensure regularly scheduled one-on-one meetings with your mentee?*

Please provide a short overview of your business background and experience.*

Please identify those key business skills that you feel you would bring to the program (eg. HR, Sales, Marketing, Finance, Legal, etc.)*

Please provide any additional information you believe would be important for us to know

OUT For Business – 2022 Mentor Application Form

Overview

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