First Name

Last Name

What gender do you identify with?

Phone

Do you live in Sweden?

I live in (County)

I live in (City)

What does your work situation look like?

How long have you been between jobs?

I retired... Less than five years agoMore than five years ago

I work in (city and country)

I last worked at (company/organization)

The most recent job title I held (no abbreviations)

Do you have professional contacts who work in Sweden? YesNo

Current job title (no abbreviations)

Are you an employee at a Mitt Liv partner organization?

I work at (company/organization)

My educational background If your exact educational background is not in the list, please choose the one that is closest to yours.

Additional educational backgrounds Here you can add additional educational backgrounds if you have more than one. You choose multiple options in the list above by holding the Ctrl button while clicking.

What industries do you have working experience from? (Choice 1) You may choose up to three industries, where the first is the one you have most experience from.

Choice 2

Choice 3

If you don't have a LinkedIn profile, shortly describe your current/previous work experience here

How many mentees could you tutor/support? 123

I can tutor in the following languages:

Which joint meetings would you like to apply for? 2x English, Wednesdays (16.00-17.30)2x English, Thursdays (11:30-13:00) **Please note: The sessions will be held in English, with the option to speak Swedish in break-out rooms. The date and time for an introductory meeting will be communicated via email well in advance of the program start.

How did you hear about Mitt Livs Chans?

I understand that being a mentor is a voluntary engagement, and that I won't get paid compensation for this Yes

By applying to be a mentor at Mitt Livs Chans I understand that I am expected to commit a total of 10 hours over 4 months (around 2.5 hours per month) Yes

By applying to be a mentor at Mitt Livs Chans I understand that I am expected to meet my mentee at least 4 times, with each meeting lasting around 1 hour Yes

By applying to be a mentor at Mitt Livs Chans I understand that I am expected to participate in 3 group sessions online over the course of the program (one session per month) Yes

Consent to the processing of data I confirm that I have reviewed Mitt Liv’s Privacy Policy and consent to the use of my personal data to assess whether I meet the requirements for the program and, where applicable, to match me with a menteeI consent to the use of my personal data to administer and facilitate my potential participation in the program in accordance with Mitt Liv’s Privacy Policy This confirms that you have read our privacy policy for the processing of personal data, and agree to that your personal data is used by Mitt Liv after the program to send newsletters, invitations to relevant events and surveys.

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Animal nurse
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