Apply-mentor

GLOBAL GEEK GIRLS COLLABORATIVE

Nigeria Geek Girls Collaborative Camp
MENTOR'S Application Form

(Fields with asterisk are compulsory)

* Indicates required field

Title *

Surname *

Other names *

Phone *

Email *

Home address *

Workplace & address (Write N/A if no workplace) *

In not more than 100 words, explain why you are interested in being a mentor at GeGCoC 2016 *

Qualification *

Diploma/NCE/ND or its equivalent Bachelor's degree or its equivalent Master's degree or its equivalent PhD

Field of specialization *

Comment or further inquiry (if any) *

Age range *

Less than 21 21-30 31-40 >40

Have you served as a mentor in a formal program like this before? *

Yes No Not sure

If yes, give details in one or two sentences *

Submit