Mentorship Application

  • Welcome to the WOHSS Mentorship Group! Please complete the entire application to ensure the best match possible.
  • Mentorship Structure

  • In person meeting is subject to local health orders, please respect personal comfort levels.
  • OHS and Industry Experience

  • Choose up to 5.
  • If Other , please specify.
  • Mentorship Preferences

  • Select all that apply.
  • If other, please specify.
  • This could include; why you choose to apply, your relevant experience as a mentor/mentee, what you wish to learn and the skills you wish to develop through formal mentorship or any other professional or personal barriers that you are wishing to overcome.
  • First Goal
  • Second Goal
  • Third Goal
    Please consider wait times when making your choices! We aim to get you matched with a mentor/mentee as efficiently as possible.
  • Contact Information/Submission

    Please provide us with the contact information that you wish to use for the purposes of Mentorship Committee communications and Mentoring Relationship communication.
  • If International, please specify:
  • Ensure you have an up-to-date and complete resume with your current employment situation, education and certifications.
    Drop files here or
    Max. file size: 512 MB, Max. files: 3.
    • I authorize verification of the accuracy of the information provided on this form.
      If accepted, I agree to be governed by the By-laws, Code of Ethics and Code of Conduct of WOHSS, as they are now or may hereafter become.
      I consent to WOHSS using my personal information provided in this application for purposes described in the WOHSS Privacy Policy.
    • MM slash DD slash YYYY