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Healthy Families, Prosperous Societies
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Home
About
Background
Vision and Mission
Guiding Principles
Our People
Our Team
Target Population
Strategic Partners
Projects
Strategy
Areas of Emphasis
Strategic Goals
Strategic challenges
Strategic Objectives
Our Products
Reports
Contact
Coaching/Mentorship Registration Form
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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Gender
Male
Female
Email
*
Telephone Number:
What is the key objective of your coaching or mentoring request?
What do you do?
Student
Employee
Manager
Business Owner
What is your mentorship needs? (Tick what applies)
Understanding my current career aspirations and challenges
Sharing my life story with a professional mentor.
Deepen understanding of my life story through reflective practice
Uncovering my unique Qualities, conpetences and Abilities
See career possibilities, explore my abilities and take action on emerging career opportunities
Drafting my Career Path and navigating my career plan
Get career guidance, refine skills, and receive objective feedback
Other (Specify)
Specify any other need
Total Number of Mentoring Hours requested (Note: A nominal fee of UGX 50,000 per hour may be charged)
0-3hr. Free (Preliminary coaching/mentorship).
1 hr.
2 hrs.
3 hrs.
24 hrs. (3 days)
40 hrs. (5 days)
Other arrangements (specify)
Family Concepts Center does not charge Tuition fees to mentor young people, but a nominal fee may be applied to meet basic mentoring preparations. Sponsors may apply to support individuals or groups of young people.
Do want to receive a record of the mentoring session?
Yes
No
Terms and Agreement
*
I understand and agree to the terms.
In checking the box above, you agree and confirm that all the information given is true and accurate. You acknowledge that your Mentor/Coach may reach out to you to confirm your participation.
Submit
