Mentor a Student: Employer Application Form

Business / Organization Profile*
Please provide a brief description of your business or organization.
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Fax
Name of Contact Person*
First Last
Job Title
Email*
Enter Email Confirm Email
My Business / organization is:*
- Public Sector
- Private Sector
Position Requested
Student Name
Job Title*
Student Education Level Requested*
- CEGEP
- University
- High School
Hours Per Week*
Wage Rate*
Start Date*

Year
Month
Day
End Date*

Year
Month
Day
Name of Supervisor / Mentor*
Job Title of Supervisor / Mentor*
Student Type*
Please describe the type of student you are looking for or briefly explain how this employment relates to the chosen student's field of study or career goal
Supporting Documents

Please attach the following documents in PDF, JPG or PNG format:

1. Letter of Support

2. Job description (if available)

If you're unable to save your documents as PDF/JPG/PNG, or if you encounter any other obstacles in submitting your materials right now, feel free to email: katsistohkwiio.jacco@kedc.biz
File
Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 32 MB.

Supporting Documents