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Wisdom Top 100 Mentoring Application

Applications are being accepted for the 2013 Wisdom Top 100 Mentoring Program. If you have any questions please contact lfyvie@wxnetwork.com


Take your career to the next level with our WXNWisdom Top 100 Mentoring program. WXN matches high-performing women with mentors from our outstanding community of Canada's Most Powerful Women: Top 100™ Award Winners. This one-year structured program offers four one-on-one meetings with a mentor, three full days of classroom instruction through our Education Partner, The Beedie School of Business (SFU), as well as opportunities for networking, improving personal productivity, and creating a professional plan for career success.

Mentor Selection Process
You will be required to complete a Mentor Selection Form that will provide more information on who you would like to be matched with either in face-to-face meetings or by e-mentoring. This will be sent to you electronically after your application has been submitted and you will be able to indicate information regarding the sector, organization, professional background and personal qualities you would like to see in your mentor. All successful candidates are notified of their matches in accordance to their date of acceptance; with a first come, first served policy. As a result, we strongly recommend you submit your application early.

All applications will be accepted through our website (www.wxnetwork.com) electronically. If you require assistance, please email Leah Fyvie (wisdom@wxnetwork.com) and she will be happy to assist.

A confirmation email will be sent to you within one week of receipt of your application. Should you not hear from us within this period, please contact Leah Fyvie at 416.361.1475 ext. 246.
Name *

First

Last
Please indicate your age group. *
< 27
27 - 29
30 -34
35 - 39
40 - 44
45 - 49
50 - 54
55
Mailing Address *
City *
Province *
Postal Code *
Telephone # *
Email *

Education

Post-secondary or University Level (Please list planned or most recent studies first)
#1
Name of Institution
*
Field of Study *
Specify Degree or Certificate Received or Expected *
Start Date *

MM
/
DD
/
YYYY
Graduation Date *

MM
/
DD
/
YYYY
City *
Province *
Country *
#2
Name of Institution
Field of Study
Specify Degree or Certificate Received or Expected
Start Date

MM
/
DD
/
YYYY
Graduation Date

MM
/
DD
/
YYYY
City
Province
Country

Employment History

List current or most recent first
Employer #1 (Present) *
Title
Date Worked From

MM
/
DD
/
YYYY
To

MM
/
DD
/
YYYY
Employer #2
Title
Date Worked From

MM
/
DD
/
YYYY
To

MM
/
DD
/
YYYY
Employer #3
Title
Date Worked From

MM
/
DD
/
YYYY
To

MM
/
DD
/
YYYY

List of Significant Accomplishments

Provide examples of your academic and/or professional accomplishments experience
Academic and/or professional

List of Leadership and Volunteer Experience

Provide examples of your leadership accomplishments and/or volunteer experience
Leadership/volunteer accomplishment
Please list experience in this format followed by the duration.

For example: Board Chair, Children with Hope 2008-2009

Please enter each accomplishment on a new line
List of Awards or Scholarships
Please list the award/scholarship followed by the date received.

For example: PMP Designation 07/2010

Please enter each Award/Scholarship on a new line

How did you hear about the program?

Please select one of the following
WXN Email
WXN Website
Word of Mouth
WXN Survey
WXN Event
LinkedIn
Twitter
National Post

Statement of Interest

Please answer the following questions: Why are you pursuing this mentorship program? How would the mentoring program contribute to your professional and/or academic development? What are your future goals?
The statement must be no longer than 500 words.

WXNWisdom Top 100 Mentoring Program Protégée Profile

In order to assist your mentor and to provide an introduction of your skills, experience, goals and objectives, we request that the following Protégée Profile be completed. The Protégée Profile information will be directed to your mentor in preparation for your mentoring sessions once you are successfully placed in the program.
Name
Current Title
Current Place of Work
Business Telephone
E-Mail
Please provide a brief personal biography (max 100 words)
Why do you believe that you will benefit from this program? (max 100 words)
What outcomes are you anticipating from this program? (max 100 words)
What are 3 obstacles that are of concern to you? (max 100 words)

Recommendation Letter

Application's are not considered final until a recommendation letter has been received.

Please ensure that recommendation letters include the following information.
Name
Employer
Title
Applicant's Name
Signature and Date

Recommendation letters should also answer the following questions:
1. In what capacity and how long have you known the applicant?
2. In what way would the mentoring program contribute to the applicant’s professional and/or academic development?
3. Why do you think we should choose this applicant?

If you already have recommendation letter completed please upload it below.
File Upload

Payment Terms

1. The cost of the WXNWisdom Top 100 Mentoring Program is $1,640 plus GST or HST as provincially applicable. To secure your spot in the program, the full fee of $1,640 plus tax is required payable by VISA, MasterCard or by cheque (made out to Women’s Executive Network).

2. Once you have been accepted into the program, you will receive an email with payment instructions.

Should you have any questions please contact Leah Fyvie at wisdom@wxnetwork.com

I hereby declare that all of information provided in the WXNWisdom Top 100 Mentoring Program application is complete and true in every respect, and that I have answered all questions applicable to me in this application. *
Yes
No
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