Mentee request form

Providing the following is for the sole purpose of matching each innovator with a suitable Mentor.

Personal details

Gender (optional)

Area of expertise

Please indicate any preferences of who you would like to be matched with i.e a mentor with same area of expertise, a mentor who has similar interests, a mentor who is from a different country than you, etc.

I agree:

  • That all the information I wrote is true and will be used when selecting a mentee for me.
  • That during the matching process, that information on this form can be shared with my mentee
  • That being matched with a mentee fitting all my preferences and/or criteria cannot be 100% guaranteed.
  • That if there are any reasons that I cannot continue in this programme, I will notify my Mentee and the Mentor Programme Coordinator.