Christian Veterinary Mission
Canada
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Mentorship Application
General Information
Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Last Name
*
Email Address
*
Phone Number
What Role are you applying for?
*
Mentor
Mentee
Professional Information
What stage are you at in your veterinary career?
*
choose one
Veterinarian
Veterinary Student
Veterinary Technician
Veterinary Technician student
Other
What year did you graduate or will graduate in?
*
In what area do you practice (or hope to practice)?
Mixed Animal
Equine
Small Animal
Farm Animal
Exotic/Wildlife
Industry
Poultry/Swine
Academic/Resarch
Other
Spiritual Information
To help us better match you, please answer the following questions that will allow us to better understand your spiritual perspective and maturity.
What Church do you currently attend?
*
How long have you been a Christian?
choose one
0-3 Years
3-10 Years
10 + Years
What Denomination do you primarily identify with?
choose one
Baptist
Catholic
Pentecostal
United
Anglican
Presbyterian
Brethen
Other
If you would like to elaborate on your background please do so.
Mentorship Information
Are you willing to travel a reasonable distance to meet with your mentor/mentee?
Yes
No
Are you okay being mentor/mentee of someone of the opposite gender?
*
Yes
No
Are you currently a member of Christian Veterinary Mission?
*
Yes
No
Is there any other information you would like to share that would be pertinent to being a mentor or mentee?
Thank you for taking the time to answer all of the above questions. Click "Submit" below to submit your information to the CVM Canada staff for processing. We will review your information and be in contact soon.
Submit