Mentorship Program: Mentor Application Form

Mentorship Program – Mentor Application

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Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Alternate Phone

Website (if applicable)

Preferred writing genre(s)*

Are there any dates you would not be available?

Upload current author CV*

Max. file size: 50 MB.

Maximum file size: 50MB

Upload cover letter*

Max. file size: 50 MB.

Maximum file size: 50MB