Mentee Application Form

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ASTTBC IEC-BC Mentoring Program Mentee Application Form This Application Form is your first step toward joining the mentorship process as a Mentee. You are an Internationally Trained Professional (ITP) who in British Columbia who needs guidance and advice in finding employment in your own discipline of engineering and applied science. You conform to the following criteria: You arrived in Canada within the past 5 years You are underemployed or unemployed You possess intermediate to advanced level English skills, having demonstrated at least Canadian Language Benchmark Level 6 (equivalent to Canadian Grade 8 English) You have certification and/or a minimum of three years experience in your area of expertise, very likely outside Canada You are committed to finding employment You have supports in place (transportation, childcare, and other supports) required to function at work And you have: A clear job goal and the skills, experience, credentials and language abilities required to succeed in the work place A job search ready resume, interview skills, networking skills, etc. Instructions: (please read the detailed instructions on www.itpbc.com, Mentoring webpage) Download and save this form, with this file name: <<MyName>>_MenteeAppl.pdf (Example: WatsonGill_MenteeAppl.pdf) Follow the webpage instructions to fill, sign and save the completed form. E-mail the completed pdf to the ASTTBC Coordinator listed on the ITPBC/Mentoring webpage.

Date: The Mentoring Program Mentee Application Form Referred by Service Provider: Staff name: Contact Information Name Address City Province Postal Code Primary Telephone # Alternate Telephone # Email Address Alternate Email Personal Information Gender Male Female Country of Origin Arabic Hindi Somali Berbere Iranian Spanish Cachi Italian Swahili Languages Spoken (Check all that apply) Other Languages How did you hear about the IEC-BC Mentoring Program? Have you registered with the IEC-BC Mentoring Program before? If yes, please indicate when/where Cantonese Mandarin Tagalog Dutch Marathi Tamil English Pashto Urdu French Polish Vietnamese German Portuguese Yoruba Gujarti Romanian Other Hebrew Russian Confidential Page 1

Program Eligibility Immigration Status Canadian Citizen Permanent Resident Date of Arrival in Canada (mm/dd/yyyy) Are you eligible to work in Canada? Yes No Have you completed any job search or employment preparation programs? Yes No If yes, please indicate program name, program length, service provider who delivered the program and completion date Are you currently unemployed or underemployed? (ie. Not working in your field of expertise) Please indicate English language proficiency If you have taken the CLB, IELTS, or other language assessment, please indicate the score or level you achieved on the assessment How many years of work experience do you have in your profession? Are you able to commit 24 hours over a 4 month period to The Mentoring Program? Please indicate the service provider who referred you to this program Program Name Program Length Service Provider Completion Date Unemployed Underemployed Beginner Intermediate Advanced 3-5 years 6-10 years 11+ years Yes No Confidential Page 2

Education and Credentials If you had your degree assessed for the Canadian educational equivalency, please enter the assessment result Highest Level of Education Country in which you attained your highlest level of education Please enter any professional license, designation or certificate (eg. CA, P.Eng) obtained in Canada or abroad Please list any other relevant education, training or program you have completed or are currently enrolled in and provide details High School Diploma Post Secondary/Vocational Bachelors Degree Masters Degree PhD Degree Program Name Institution Program Length Completion Date Please list any professional associations in Canada or abroad to which you belong? Field/Occupation Please select your field/occupation Engineering Sales & Marketing Architecture & Planning Graphic Design Communications & PR Law Business/Finance Please specify (ie. Accounting, Business Analysis, etc.) Public Policy & Research Please specify (ie. Economics, Health, Trade, etc.) Education & Social Work General Administration and Entry Level Clerical Health Care Insurance & Real Estate Information Technology Logistics & Planning Science, Biotechnology, Import/Export Research Business Professionals Data Analysis Human Resources ESL Teachers Confidential Page 3

What industry have you worked/specialized in? What is your targeted position/occupation? What are your current career goals? Mentoring Assistance Please check areas in which you would like assistance Why are you interested in participating in The Mentoring Program? What do you want to know about your profession/field? Understanding the Canadian workplace culture Identifying skills required to meet market demands Guidance through the licensing and accreditation process Improving professional terminology Mastering self-marketing techniques and confidence building Assisting with job search strategies, reviewing resumes, cover letters and preparing for interviews Selecting technical skills, upgrading programs and resources Locating publications and workshops on recent developments in their field Gathering information on local industries and potential employers Establishing a professional network Identifying and seizing employment or job training placement opportunities Participate in ongoing evaluation, contributing to model development Please email a current copy of your resume to ASTTBC's Mentorship Coordinator. Confidential Page 4