Request a Mentor

1. I agree that the CIE can provide the above information about me to all mentors involved in the International Leadership and Mentorship Program (ILMP) at CapU. This information will be held in confidentiality between the mentors and the program coordinator.
2. I understand that at any time during my participation in the program, I can contact the International Student Engagement representative at iengage@capilanou.ca with any concerns.
3. I agree that if at any time I need to remove myself from the program, I will immediately contact the International Student Engagement representative at iengage@capilanou.ca with any concerns.
4. I understand that all program participants (mentors and mentees) will be required to agree to a similar agreement.

Privacy statement

We are committed to protecting your privacy and personal information through responsible information management practices. We collect, use, retain, disclose and dispose of personal information in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA), other applicable legislation and Capilano University privacy management practices.

This form collects personal information for the purposes of verification by the International Leadership and & Mentorship Program.  It is collected by Capilano University under (s)(26)(c) of FIPPA.  By submitting this form, you are providing your consent for the International Leadership and & Mentorship Program to collect and use this information for this purpose. If you have any questions, please contact iengage@capilanou.ca.