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About Us
Who We Are
Our Leadership
Community
Encourager Groups
Lead Forums
Equipping
Equipping
Lead Channel
Lead Africa Summit
LEAP Experience
Wheel Of Life
Mentoring
Lead Mentorship
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Today's Teens
Resources
African Voices
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Training
Soko
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Useful Websites
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Lead Africa
Mentor Application Form
Mentor Program Registration
Mentor Program Registration
Full Name
*
Full Name
First
First
Last
Last
Email
*
Phone Number
*
City
*
State
Country
*
Address
Zip / Postal Code
This information is used to pair mentors with mentees who may have similar life experiences.
Gender
*
Male
Female
Age Range
*
26 - 35
36 - 50
51 - 60
Over 65
Ethnic and/or Cultural Identity
Birthday (Month & Day)
Relationship Status
*
single, never married
married
have been widowed
have been divorced
Do you have children? If so how many?
*
Do you have grandchildren? If so how many?
*
Education Education: College(s) Attended and Degree(s) Earned
*
Industries you have worked in
What is your current job role?
*
Years in this Role
*
How would you categorize your current (or most recent) job level?
*
Intermediate (or associate-level; contribute more independently)
Mid-level (oversee one or more departments; usually hold managerial roles)
Senior or executive-level (overall organization responsibilities)
Owner (solo entrepreneurs included)
Other:
What Is Your Area Of Career Expertise?
*
Current Employer
*
Leadership Journey And Areas Of Expertise
Previously Mentored Individuals?
*
What motivates you to mentor?
*
Describe your mentoring approach and values
*
What do you expect from mentees in the program?
*
Are you committed to actively engaging in a 10-week mentorship program?
*
Yes
No
How did you hear about the LEAD Africa Mentorship Program?
*
Any other relevant details you’d like to share
By submitting this application, you agree to invest your time, wisdom, and guidance in shaping the next generation of leaders. Our team will review your application and be in touch soon.By submitting this application, you agree to invest your time, wisdom, and guidance in shaping the next generation of leaders. Our team will review your application and be in touch soon.
*
Yes
If you are human, leave this field blank.
Submit
