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Mentoring Program Choices

I am interested in learning more about mentoring with the following certified program(s):

I know enough about the certified mentoring programs and would like to become a mentor for:

Will this be your first mentoring experience: Yes No

Please share with us any experiences that you have had as either a mentor or a mentee.

Please let us know why you are interested in becoming a mentor.

Tell Us How You Learned About Mentor Kenosha & Racine

Please Check All That Apply

I would like to be added to The Mentoring Messenger, Mentor Kenosha & Racine's online newsletter: Yes No

Please share with us any other information that you would like us to know:

Thank you for your interest in becoming a mentor. Your information will be shared with the mentoring program(s) that you chose. You will be hearing from them in the near future and they will assist you with the program and the application process.

If you have not been contacted within two weeks please contact Evan Witalison so he can check on the status of your referral.

Please feel free to contact Michelle Dolnik (email) or 262-595-2652 if you have questions or need further information.