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University Mentorship Program

Protégée Application Form

Before continuing please ensure you have reviewed and meet the criteria for a program outlined on the WCM website. This program is open to students across Canada.

Application Deadline: Wednesday, November 17th, 2021

* Please Note: If you are applying to be a protégée, it is mandatory to be a WCM University Member in good standing. You can sign up for a WCM membership here. If you need assistance setting up your membership, please contact a info@wcm.ca

1. Contact Information

POST SECONDARY INFORMATION

5. Undergraduate Degree *
6. Undergraduate Degree Institution *
7. Graduate Degree (if applicable)
8. Graduate Degree Institution (if applicable)

ADDITIONAL INFORMATION

must be between
8 and 20 characters

Mentoring agreement

Thank you for completing your 2022 WCM’s University Mentorship Program Protégée Application Form. You will be notified if your application was successful in late December 2021 and the program will begin in January 2022.

By applying to WCM's Mentorship Program, you acknowledge that personal information including, but not limited to, your first name, last name, email address, phone number, address and other details (collectively “Personal Information”) included in the application package will be collected from you by WCM. By providing your Personal Information to WCM, you consent and agree to WCM’s collection and use of your Personal Information to administer the Program.