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Application for Advanced Track Mentoring

Thank you for your interest to participate in Eagala Advanced track mentoring.

Please complete the form below and submit an application fee to request a mentor.

The $100 application fee can be paid here: http://home.eagala.org/store/products/advanced_track_mentor.

You must be Eagala Certified to participate in this program.

This form will take approximately 15 minutes to complete. If you desire the form be emailed to you, please contact cindy@eagala.org, state your interest in the mentor program, and a form will be emailed to you. For additional understanding of the Advanced track mentor program, view the follow link: https://files.podio.com/418783444

Feel free to contact us if you have any questions.

List if you use Skype internet phone to allow for free phone calls in the mentor program. You can download Skype for free at www.skype.com if you wish to implement this. May be provided to mentor later once you are signed up.

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Self-Assessment

Rate yourself in the following areas of EAGALA Model practice.