Consulting Engineers of Manitoba

Protégé Application Form

Protégé Application

Apply to be part of the Mentorship program via one of the following methods:

• Print a Protégé Application Form form and fax to 204-779-0788
• Email an electronic copy of a completed Protégé Application Form to cemca@shaw.ca
• Complete the following form and submit!

Note: The Protégé Application Form information is collected with the sole purpose of matching mentors to potential Protégés.

Online Form

Name:
Gender:	Male Female
Phone:
Email
Studying to become:
Year in Program:	1 2 3 4 5 other
Expected Year of Graduation
Discipline:
Area of Interest: