WomenaireSociety Mentor and Country Manager Application

Please complete and return the online application form.

All of your responses are kept strictly confidential.


Please enter your First and Last Name *

Title:    First:    Last:


Cell / Mobile Phone *


Skype ID


Email Address *


Your Date of Birth (Optional)








Your Country of Origin




Your Current Country




What languages do you speak?

    Please list the languages you speak and your proficiency in each.


The Sector/Industry in which you work


Name of Organization


Your Organization's Website









Your Current Position : and describe your current role


  Please state what you’re doing at your company and provide a summary in no more than 10 lines








How did you hear about us?

  We've love to know how you came to be here, to help our marketing efforts and to raise further awareness.








Are you applying for the position of Mentor or country manager?








Why do you want to be a Mentor or Country manager with WomenaireSociety?

  Please explain in your own words why you want to be a mentor with WomenaireSociety?








What level are your mentoring skills?

  Please select one of the predefined definitions so we can understand your experience of being a mentor.








What level are your Leadership skills?








Include your links to Social media and LinkedIn profile









Are you willing to fully commit the time and energy to mentoring for one hour per month for nine months by telephone, Skype or face to face if you are geographically close to your mentee?

Yes Absolutely:


I’m not sure:












Would you be interested in becoming a member of WallStreet Women?















Would you be interested in receiving news, women in leadership, business and personal development events and programs from WomenaireSociety and WallStreet Coaching?















Please confirm the date you completed this application

Pick a date  









WomenaireSociety Disclaimer of Liability

  1. The Mentor agrees that there will be no payment or remuneration for this program.
  2. The Mentor agrees that taking part in the WomenaireSociety mentoring program is entirely at the Mentor's own risk. Any actions or lack of actions, taken by the Mentee as a result of advice from a Mentor is done so solely by choice and responsibility of the Mentee and is neither the responsibility nor liability of WomenaireSociety or of the Mentor.
  3. WomenaireSociety is not responsible or liable for the results/outcomes achieved by the Mentee as these are not within WomenaireSociety’s control. The Mentee is fully responsible for his/her results.
  4. By accepting this agreement, the Mentor agrees to hold WomenaireSociety free of all liability and responsibility for any actions or results that the Mentee considers of adverse consequence or effect as a result of any information, guidance or referral by a Mentor.
    (Please contact WomenaireSociety if you wish to see the Mentee Disclaimer).

Accept and agree with the above disclaimer of liability



I Agree **

  Please type Agree in the box!!