Indigenous Mentorship Registration Form for Mentors

The mentor’s role is to welcome you into the OII and University setting and help to create a sense of belonging for the mentee.

Registration Information

Language(s) Spoken

Emergency Contact Information

If you have any questions, please contact the Indigenous Mentorship Coordinator at

Protection of Privacy

The information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to and needed by the University to support your request for Wiidooktaadwin Indigenous Mentorship activities with a community partner organization. Employees of the Wiidooktaadwin Indigenous Mentorship Department, Enji giigdoyang, Office of Indigenous Initiatives and the secondary school that you will be partnered with will use the information. If you have any questions about the collection, use, and disclosure of this information, please contact: Wiidooktaadwin Indigenous Mentorship Initiatives, Nipissing University, 100 College Drive, North Bay, ON, P1B 8L7