Strong Women Network Mentor Registration Form Question Title * 1. Name: Question Title * 2. Email: Question Title * 3. Phone Question Title * 4. Have you previously studied at the University of Melbourne? Yes No Question Title * 5. Year graduated: Question Title * 6. What degree(s) did you study? Question Title * 7. Years of professional work experience: 0-2 years 3-5 years 5-9 years 10+ years Question Title * 8. Career area: Question Title * 9. Describe your current and/or previous involvement in sport: Question Title * 10. Describe your hobbies/interests (this will be used to help match you to your mentee): Question Title * 11. In what ways will you be able to interact with your mentoring partner? Face to face meetings in Melbourne Skype meetings Email consultations Telephone consultations Other (please specify) Question Title * 12. STRONG WOMEN NETWORK MENTORING PRIVACY STATEMENT. The information on this form will be used by the coordinator of the appropriate career mentoring program at the University of Melbourne to match students and mentors. Contact details will be retained in confidential files to enable the coordinator to communicate with participants. Only matched mentoring pairs will be given each other's contact details. Information may also be passed on to other groups within Melbourne University Sport for the purpose of updating databases and producing communications relevant to Melbourne University Sport. The University has a detailed Privacy Policy and you can contact the Privacy Officer with any questions about how the University deals with personal information. I understand and accept the Strong Women Network Mentoring Privacy Statement: I Agree Done