REGISTRATION FORM for the Mentorship Programme -- Network of Women for WTDC
Call for mentors and mentees - Second iteration 

Call for mentors and mentees

In the context of the Network of Women for the World Telecommunication Development Conference (NoW4WTDC) - the ITU-D initiative aims at building capacity for WTDCs and encouraging active participation of women as delegates, chairs, vice-chairs, among other leadership roles in the conference structures and ITU-D in general. The mentorship programme is open to women participating in all events in preparation for the upcoming WTDC.

ITU, as the facilitator, would appreciate receiving information about your pro
file and experience to help us match mentors and mentees.

Please fill in your contact details and information in the short form below (approx. 3 min of your time).

1.Full Name(Required.)
2.Email address(Required.)
3.Phone number
4.Job Title(Required.)
5.Representation/Entity Name(Required.)
6.Entity by Category(Required.)
7.Country(Required.)
8.Please specify the region that you represent in the ITU work process (ITU’s Telecommunication Development Bureau regional grouping available here)(Required.)
The role of the mentor is to share your experience and skills on WTDC work processes in order to help the mentee to achieve their goals. The mentee must have the skills, knowledge and desire to achieve these goals, whereas the mentor must be able to listen to and guide the mentee.
9.How would you like to participate in this mentorship programme?(Required.)
10.Have you attended WTDC conferences in the past?(Required.)
11.If you have attended WTDC, what was your role (chair, vice-chair, delegate ...)?
12.Have you attended Regional Preparatory Meetings for WTDC in the past?(Required.)
Preferences
13.Preferred language(s)
To the extent possible, the selected language(s) will be used to match mentors and mentees.(Required.)
Preferred work experience
The selected option(s) will be used to match mentors and mentees - please specify your objectives for this
programme
14.Global or Regional preferences 
Please specify if you prefer to be matched with someone ..
15.Please specify your region (ITU’s Telecommunication Development Bureau regional grouping available here)
16.Sharing Experience
Please specify your objectives for this programme
17.If you have selected "Specific WTDC topic(s)"
Please specify here your needs.
18.Please share any comments or your specific goals in participating to the upcoming mentorship programme
Please note, your contact details and preference choices will be used by the
facilitator only for the mentoring and matching purposes.
19.Privacy notice(Required.)
Thank you very much for contributing to NOW4WTDC and growing the synergy of this community and providing a forum for sharing knowledge, networking and mentoring.