Apps4Africa.org | Mentor Form

Primary Contact First Name*

Primary Contact Family Name

Primary Contact Email*

Entering on behalf of Organization or Individual*

Individual Organization

Organization

Which competition are you interested in mentoring for?*

West/Central (1/10 to 30/11) East Africa (20/10 to 20/12) Southern Africa (1/2/12 to 30/3/12)

What best describes you?*

Individual - African Resident of Africa Individual - Non-African Resident of Africa Team or organization based primarily in Africa Individual - Non-African Non-Resident of Africa

Did you or a team member attend an Apps4Africa Brainstorming Event?*

Yes No I Don't Know

Did you enter Apps4Africa in 2010?

Yes No

What type of experience can you offer?*

If you selected 'other' above, or have skills to offer that aren't listed, please explain.

ENTERING AS A MENTOR

READY FOR THE CHALLENGE?