Mentoring Program 2013 EOI form

Question Title

* 1. I would like to express interest in the Mentoring Program as a:

Mentor

Mentee

Question Title

* 2. Are you a member of PIA and/or WPN? Please note this is an eligibility requirement.

Yes

Question Title

* 3. Have you been employed in the planning/urban design industry for at least one year? Please note this is an eligibility requirement.

Yes

Question Title

* 4. My details are as follows:

Name:

Company:

Position:

Suburb/Shire:

Email Address:

Thankyou. You will be contacted shortly with details on next steps in June.

In the meantime, if you have any inquiries, please contact Mateusz at mbuczko@planning.org.au.