CoP Mentorship Form | Alberta Restorative Justice Association

Contact Information

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

ROLE SELECTION

I am interested in becoming a Mentor

I am seeking support as a Mentee

Current Role/Title

Organization

Years of Experience in Restorative Practices

Training or Certifications in Restorative Justice

Areas of Practice (e.g. youth, schools, Indigenous communities

What are your goals for participating in this mentorship program?

What are the specific areas you wish to focus on or develop?

Preferred Days & Times for Meetings

Preferred Mode of Communication (e.g. phone, zoom, in-person)

Language(s) Spoken

Do you have any accessibility needs or accommodations?

Is there anything else you would like us to know to facilitate a successful mentorship match?