Mentoring registration form

Mentoring registration formadmin@zerofaute2025-09-30T13:05:39+00:00

"*" indicates required fields

Information*

First Last

Professional objective*

Email*

Phone

Address (for tax receipt, if applicable)*

Street Address City State / Province / Region ZIP / Postal Code Country

Rate : The rate is negotiable, but it will depend on the quality of your project, its duration and its deadline. Do you agree (yes or no)?*

Yes

Financial commitment : I will make any payment by Interac e-transfer (accepted payment method). You can answer yes or no.*

Yes

Contact : I agree to be contacted by email or SMS (e.g. Yes or No) as part of the mentoring service and I know that I can also contact ZÉR0 FAUTE, at any time, by email, to cancel the service without any penalty or justification. You can answer yes or no.*

Yes

Confidentiality : No member of the ZÉR0 FAUTE team will ask me to provide any personal information other than that contained in this confidential form, which is used only for this registration.*

Yes

Additional Information : Please write here any additional information you would like to let us know about your professional project. You can answer Nothing to report (if applicable).*

Yes

Nothing to report

Additional information

Signature : Please write your full name and today's date, then confidently click Send to submit the form*

Contact information

PO Box 79129
RPO CARREF VANIER
Ottawa (Ontario) K1L 1A1
Canada

Phone : 613 841-3696
Mobile : 343 553-5554
Email : [email protected]

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