First Name Last Name Email Address: Please select the gender identity option(s) with which you identify. Woman Man Gender non-conforming Non-binary Agender Questioning Trans Two-spirit I prefer not to answer Another gender (please specify): Enter other… Please select all that apply Is there a role or job title that you would ideally like to be connected with in a mentor? What program are you currently enrolled in? Architectural Engineering Biomedical Engineering Chemical Engineering Civil Engineering Computer Engineering Electrical Engineering Environmental Engineering Geological Engineering Management Engineering Mechanical Engineering Mechatronics Engineering Nanotechnology Engineering Software Engineering Systems Design Engineering Other... Enter other… What is your projected graduation year? Is there a specific industry you would prefer a mentor from? Aerospace Advanced Manufacturing (3D printing, materials, etc.) Agriculture Architecture Automotive Chemical Construction Data science Defense Education Electronics/Hardware Energy (Oil and gas, nuclear, etc.) Environment (Remediation, air pollution, etc.) Finance Food Healthcare Mining Pharmaceutical Robotics/Automation Software Telecommunications Water Other… Enter other… Check all industries that apply Do you have a preference for a mentor in a specific city? Are you able to attend events/workshops in person at the University of Waterloo? Yes No If you were a mentee in the 2021 WiE Mentorship program, who was your mentor? Would you like to be paired with the same mentor? yes no Students may wish to be matched with a mentor with similar gender identity. Would you like to be matched with someone with similar gender identity? Yes No Prefer not to answer This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor with similar racial background. Would you like to be matched with someone with a similar racial background? If so, please share the racial category you identify with: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor based on religious or spiritual affiliation. Would you like to be matched with someone who has a similar religious or spiritual affiliation? If so, please share your religious or spiritual affiliation: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor from a similar Indigenous nation or culture. Would you like to be matched with someone from a similar Indigenous nation/culture? If so, please share which Indigenous nation/culture you identify with: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Please describe any special interests/hobbies or other information about you that may be helpful in matching you and your mentor Why did you apply for the Mentorship Program? (250 works or less) Is there anything you would like to us to know while we review your application? Acknowledgement: Once matched with a mentor I am willing to commit to a 8 month Mentorship program involving either one meeting or one event per month? Yes No Other… Enter other… Leave this field blank
First Name Last Name Email Address: Please select the gender identity option(s) with which you identify. Woman Man Gender non-conforming Non-binary Agender Questioning Trans Two-spirit I prefer not to answer Another gender (please specify): Enter other… Please select all that apply Is there a role or job title that you would ideally like to be connected with in a mentor? What program are you currently enrolled in? Architectural Engineering Biomedical Engineering Chemical Engineering Civil Engineering Computer Engineering Electrical Engineering Environmental Engineering Geological Engineering Management Engineering Mechanical Engineering Mechatronics Engineering Nanotechnology Engineering Software Engineering Systems Design Engineering Other... Enter other… What is your projected graduation year? Is there a specific industry you would prefer a mentor from? Aerospace Advanced Manufacturing (3D printing, materials, etc.) Agriculture Architecture Automotive Chemical Construction Data science Defense Education Electronics/Hardware Energy (Oil and gas, nuclear, etc.) Environment (Remediation, air pollution, etc.) Finance Food Healthcare Mining Pharmaceutical Robotics/Automation Software Telecommunications Water Other… Enter other… Check all industries that apply Do you have a preference for a mentor in a specific city? Are you able to attend events/workshops in person at the University of Waterloo? Yes No If you were a mentee in the 2021 WiE Mentorship program, who was your mentor? Would you like to be paired with the same mentor? yes no Students may wish to be matched with a mentor with similar gender identity. Would you like to be matched with someone with similar gender identity? Yes No Prefer not to answer This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor with similar racial background. Would you like to be matched with someone with a similar racial background? If so, please share the racial category you identify with: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor based on religious or spiritual affiliation. Would you like to be matched with someone who has a similar religious or spiritual affiliation? If so, please share your religious or spiritual affiliation: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Students may wish to be matched with a mentor from a similar Indigenous nation or culture. Would you like to be matched with someone from a similar Indigenous nation/culture? If so, please share which Indigenous nation/culture you identify with: This is optional but may be beneficial to matching based on preferences. Please note that, we will do our best to provide you with the most suitable match but it is not always guaranteed. This information will be used for pairing purposes only, and will not be shared outside of the application process. Please describe any special interests/hobbies or other information about you that may be helpful in matching you and your mentor Why did you apply for the Mentorship Program? (250 works or less) Is there anything you would like to us to know while we review your application? Acknowledgement: Once matched with a mentor I am willing to commit to a 8 month Mentorship program involving either one meeting or one event per month? Yes No Other… Enter other… Leave this field blank