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COHORT THREE REGISTRATION
MENTORSHIP ACADEMY
Complete the form below to join Cohort Three.
Section 1 — Personal information
First name
Last name
Email
Nationality
Age range
Select age range
Country of Residence*
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City of Residence
Section 2 — Professional profile
Occupation / Profession
Current role / position
Organization / Ministry / Company name
How long in your current position?
Section 3 — Mentorship readiness
Why are you applying for this mentorship at this particular season of your life?
What specific areas of growth are you seeking?
Select an area
What do you believe is the primary thing holding you back from your next level?
Payment Currency
Select currency
Payment Plan
By proceeding with payment I acknowledge and agree that all cohort 3 mentorship fees paid are non-refundable after payment has been made.
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