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Needs Assessment Form

We are here to support Black and newcomer women in Ottawa. Fill out our needs assessment form and our team will be in contact for support.

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Mentor Application

Full Name *

Graduation Year *

Discipline *

Phone *

Email *

Have you acted as a mentor or coach before *

Yes
No

Are you willing to be trained as a Circle Mentor *

Yes
No

I would like to be an: *

In person mentor
Telephone mentor
Webinar/Zooms/Team mentor

How many hours per week can you volunteer as a Circle Mentor *