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Mentor Registration Form

Thank you for your interest in attending the Skills Canada - Ontario Networking Dinner for Women and/or Young Women’s Conference. Mentors are critical to the success of these events. Please take a few moments to complete this registration form, after which a Skills Canada – Ontario staff member may follow up to confirm your attendance. We will see you at the event!

**PLEASE NOTE!**- Fields marked with an * are mandatory

*Event Location/Date: 
*Salutation:
*First Name
*Last Name
*Occupation
*Organization
*Address
*City
*Province
*Postal Code
*Email Address
*Phone #: () -  EXT
Fax #: () -
Cell #: () -
*Contact me by:
Do you have any allergies? Please respond No or specify your allergies
Do you require vegetarian meals? Please respond No or comment on your meal restrictions
I will be able to provide an item as a door prize. (Bring to event and attach a business card to the item.)
 Yes No 
I wish to attend the Young Women’s Conference on both Monday, May 2 and Tuesday, May 3, 2011
 Yes No 
* Please describe the trades/technologies for which you are qualified:
 
* Please describe your education/training background:
 
I feel most qualified to represent the following skillede trade/technology sector: (check one only)
 
Please include any encouraging words of advice to young women investigating a career in skilled trades or technologies” (Comments will be incorporated into a take home sheet for students)