Mentor Registration Thank you for joining our Team as a Mentor for the 2022 Pow Wow Pitch. Please complete this form to support us in matching you with your entrepreneur mentees and profiling you on our Website and social channels.Basic InformationPronouns(Required)She/HerHe/HimThey/ThemNone of the abovePrefer not to answerName(Required) First Last Position(Required) Organization(Required) Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Are you Indigenous? Yes No To what Indigenous community do you belong? Headshot Photo(Required)Accepted file types: jpg, png, jpeg, , Max. file size: 5 MB.Please upload a headshot face-forward high-res jpg photo for us to use on the Pow Wow Pitch website. Mentorship InformationAre you available to mentor 4 Indigenous entrepreneurs virtually 1-1 the week of July 25 - 29 for 1 hour each?(Required) Yes No Are you interested in Mentoring Indigenous entrepreneurs in-person for 4 hours at the Winnipeg (~May 21), Ottawa (~June 25), or Kamloops (~July 30)? If so, please click the location below you would like to support: Winnipeg Ottawa Kamloops Do you have particular expertise in any of the following industries/sectors, please tick all that apply Beauty & Personal Care Charities and Education Consumer Products Creative Entertainment Environment Food and Drink Home and Repair Media Not-for-Profit Retail Professional Services Tech Tourism T-Shirt SizeXSSMLXLXXLWebsite (if applicable) Twitter (if applicable) LinkedIn (if applicable) Instagram (if applicable) Facebook (if applicable) TikTok (if applicable)
