Mentor profile

Pronouns (Optional) Select She / Her / Hers He / Him / His They / Them / Theirs Other (please specify)

Other

First Name

Last Name

Telephone

Cell Phone

Email Address

Home Address

Province (must live in BC)

City

Postal Code

Work Address

City

Postal Code

Best address for mailing Select Home Work

Company Name

Your Job Title

What industry do you work in? Select Agribusiness and food Aid and development Arts and culture Biotechnology Community services Defence and aerospace Design Education and training Energy and sustainability Engineering Fast moving consumer Goods Financial services Forestry and fishing Government Health care Hospitality Human resources Information and communication Infrastructure and construction Insurance Law and Criminology Logistics Marketing Manufacturing Media and communications Mining and resources Not for profit Nursing and midwifery Pharmaceuticals Professional services and consulting Real estate Retail trade Social services Teaching Tourism Transport Wholesale trade Other

If other:

Multilingual? Select Yes No

If other:

Highest level of education Select High school College or trade school diploma Undergraduate Degree Masters PhD Other

If other:

If other:

Which post-secondary did you attend Select British Colombia Institute of Technology Camosun College Capilano University Coast Mountain College College of New Caledonia College of the Rockies Douglas College Emily Carr University of Art and Design Justice Institute of British Columbia Kwantlen Polytechnic University Langara College Nicola Valley Institute of Technology North Island College Northern Lights College Okanagan College Royal Roads University Selkirk College Simon Fraser University Thompson Rivers University University of British Columbia University of British Columbia – Okanagan University of Northern British Columbia University of the Fraser Valley University of Victoria Vancouver Community College Vancouver Island University Other

If other:

What faculty were you in

If other:

If other:

Personality traits (list 3) – for example patient, funny…

Sports - List 1 (up to 3) different sports experiences you have had. Even the ones you grew up playing as a kid, or just play for fun today.

How many Luminaries are you willing to mentor? (Max 2) 1 2

I would be willing to mentor an Adult Learner from the Single Parent Program: Select Yes No

I would be willing to mentor a student from the Refugee & Immigrant Program: Select Yes No

I identify as: Select Male Female Prefer not to say Other

If other:

Mentee Gender preference Select Male Female No Preference

Background Check information:

Complete a Police Background Check by September 30, 2023. As a mentor to Beedie Luminaries you may be working with youth under the age of 19. As such, we require all Mentors to complete the Vulnerable Sector background check. It is a simple, free and confidential on-line process, offered by the Criminal Records Review Program of BC, for the purpose of working with youth / vulnerable adults.

Online Link: https://justice.gov.bc.ca/criminalrecordcheck

Access Code: QK3PLASRCZ

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