First Name *

Last Name *

Email *

Products of Interest: Insurance (click all that apply) *

Products of Interest - Wealth: (click all that apply) *

Topics I would like advice on: (click all that apply) *

Age ranges *

Lifestyle *

Individuals Couples Families Business Owners

Locations *

Urban Suburban Rural

Income ranges *

Niche Markets *

Communities *

Region

Financial Centre

District

My top 3 hobbies

Have you participated in a mentoring relationship before? *

Designations you have or are actively working towards

Licensed in provinces (click all that apply) *

I went to high school in the city: *

My first car was a: *

My favourite colour is: *

Mentorship Program
Code of Conduct

Peers will not practice, condone, facilitate or collaborate in any form of discrimination on the basis of ethnicity, race, sex, sexual orientation, age, religion, national origin, marital status, political belief, mental or physical disability, or any other preference or personal characteristic, condition or state.
Peers will respect the privacy and confidentiality of their Mentors and others utilizing peer support services.
Peers will never engage in sexual/intimate activities with their Mentors and others utilizing peer support services.
Peers will avoid conflicts of interest that compromise the relationship between themselves and theirMentors.
Peers will never intimidate, threaten, harass, use undue influence, physical force or verbal abuse, or make unwarranted promises of benefits to their Mentors and others utilizing peer support services.
Peers will not accept gifts of significant value from their Mentors and others utilizing peer support services.
Peers will maintain high standards of personal conduct that includes keeping commitments to and giving of dignity and respect to all people.

I agree to the Code of Conduct

I agree to the Privacy agreement

Mentee Profile