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  • Mentor/Mentee Application Form

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    The document is a mentor/mentee application form for the UWI School of Nursing. It requests the applicant's name, gender, year of study, and whether they are applying to be a mentor or mentee. It asks for details about the applicant and the preferred mentor/mentee. If approved, it records the matched names. The form is signed by the applicant agreeing to uphold all rules of the university and nursing association.

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    The document is a mentor/mentee application form for the UWI School of Nursing. It requests the applicant's name, gender, year of study, and whether they are applying to be a mentor or mentee. It asks for details about the applicant and the preferred mentor/mentee. If approved, it records the matched names. The form is signed by the applicant agreeing to uphold all rules of the university and nursing association.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Mentor/Mentee Application Form

    Uploaded by

    api-264722110
    The document is a mentor/mentee application form for the UWI School of Nursing. It requests the applicant's name, gender, year of study, and whether they are applying to be a mentor or mentee. It asks for details about the applicant and the preferred mentor/mentee. If approved, it records the matched names. The form is signed by the applicant agreeing to uphold all rules of the university and nursing association.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    The UWI School of Nursing,

    Mona,
    Faculty of Medical Sciences,
    9 Gibraltar Camp Way, Mona,
    Kingston 7. Jamaica W.I

    Tel: 970-3304
    Tel: 702-4788
    Fax: 9272472
    Email: uwison.sna@gmail.com

    MENTOR/MENTEE APPLICATION FORM


    Instructions: Please tick where appropriate and complete all options.
    NB:Applying for someone known to applicant is not guaranteed.

    Name: __________________________________________________________
    Nature of request: Mentor
    Applicants gender: F

    Year group: 1 2

    Mentee

    Mentor/mentees gender: F

    Tell us about yourself:


    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    I wish to have a mentor/mentee who is (State the person name if known):
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    Contact Information: Cell #: (876) _________________
    Email address: ____________________________

    I will uphold ALL UWISON and ALL UWINSA rules and regulations at all times. I will
    maintain a good standing in the association and be a good example to others to follow.

    _____________________________

    ___________________________

    Signature

    Date
    FOR OFFICIAL USE ONLY

    Mentors name: ___________________________ Mentees name: _______________________


    Approved:

    Signature:____________________________

    Decline:

    Date: ________________________

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