Mentorship for Rural Immigrants

Mentee Application Form

Thank you for your interest in the Mentorship for Rural Immigrants program. This program is designed for immigrants who live in rural communities in Alberta who are looking for a mentor with a goal to improve their workplace communication and improve their integration in their profession and community. This application form is used to screen mentee applicants so please fill it out carefully and completely.

All information is collected and managed in compliance with the Freedom of Information and Protection of Privacy Act (FOIP). Your information is protected using both server authentication and data encryption, ensuring that your information is safe, secure and private. Your information will only be used for the purposes of this program.

If you have any questions about this form, please contact a Mentorship Officer at ruralmentorship@bowvalleycollege.ca

Personal Information

First Name

Last Name

Date of Birth

Gender

Mailing Address

Town

Province

Postal Code

Phone Number

Email Address

Immigration Information

Current Immigration Status

Country of Birth

First language

How long have you been in Canada?

How long have you been in Alberta?

Education Information

Education Level

Country of Education

Specify the degree/certificate obtained

Year most recent education completed

Have you had your English language assessed?

If yes, which language assessment did you most recently complete?

What were your test scores in the following categories?

Listening

Speaking

Reading

Writing

Date Completed

Work Experience

List your current or most recent Canadian work experience:

Employer

Date started

Position

Date ended

Employer

Date started

Position

Date ended

List your most recent non-Canadian work experience:

Employer

Date started

Position

Date ended

Program and Career Goal Information

1. Why are you interested in being a mentee?

2. What are your career goals for the next two years?

3. What is the biggest workplace challenge you have faced?

4. What are your expectations of this mentorship program?

5. Why should you be considered for this mentorship program?

Please attach a copy of your resume with this application form (attachment), maximum allowed file size is 15M bytes

Referral Source

How did you find out about the Mentorship for Rural Immigrants program?

I attest to the truthfulness of all information listed on this application and agree to all the above terms and conditions.

The Province of Alberta is working in partnership with the Government of Canada to provide employment support programs and services