ACC Mentor Application Form 2019B Question Title * 1. Name OK Question Title * 2. Program Commitment: In applying for participation in the Association of Corporate Counsel (ACC) Australia Mentoring Program, I confirm that: I am a fully paid member of ACC Australia I am currently employed in a in-house legal role I understand the program runs from 5 August 2019 to 1 May 2020 I am committed to attending the relevant opening event in my state or opening webinar I am committed to meeting (either in person or in a virtual capacity) with my mentee monthly Comment (if required): OK Question Title * 3. How did you hear about this program? Direct email or invitation Newsletter Australian Corporate Lawyer magazine I am a repeat mentor I am a previous mentee Conference/Association event Recommended by a past program participant Other (please specify) OK Question Title * 4. Phone - Mobile OK Question Title * 5. Phone - Business hours OK Question Title * 6. Email address OK Question Title * 7. Current Position Title OK Question Title * 8. Current Company/Organisation OK Question Title * 9. Geographical location (town, city or suburb) OK Question Title * 10. State ACT NSW NT QLD SA TAS VIC WA OK Question Title * 11. Years of overall legal experience OK Question Title * 12. Years of in-house experience OK Question Title * 13. Other employment experience outside of law OK Question Title * 14. Please paste the link to your LinkedIn or other online bio here (if you do not have an online profile, please email your CV to Mentoring_ACC_Australia@karinabutera.com) OK Question Title * 15. In what industries do you have experience? Advertising/marketing Agriculture, forestry and fishing Automotive Construction Consumables - staple Defence Education Finance/insurance Government - local Government - state Government - federal Health and community care Hospitality and community care Manufacturing Media Mining NGO/Not-for-profit Professional Services/consulting Property Publishing Retail Technology Telecommunications Transport and storage Utilities supply Wholesale trade Other (please specify) OK Question Title * 16. In which areas of specialisation do you have experience? Advertising and marketing Company secretarial Competition Contracts Copyright Corporate Dispute resolution Employment/IR Export/import Finance/tax Innovation International affairs Management - small teams Management - exec/multilevel Manufacturing M&A/joint ventures Patents Privacy Procurement Property Quality assurance Risk management Technology Trademarks Other (please specify) OK Question Title * 17. In which of these professional development areas are you best equipped and motivated to assist a mentee? Developing career plans Developing personal networks Understanding organisational politics Time management Developing self-confidence Relationship management Communication/presentation skills Decision making Project management Strategic leadership Managing a team Planning and organising Analysis and problem solving Influencing/motivating others Balancing work and other life priorities Dealing with difficult people Resolving conflict Negotiation Recruitment/interviewing Change management Promoting oneself within an organisation Building greater business acumen/adding value Partnering across the business Gaining board experience Other (please specify) OK Question Title * 18. How important is geographical location to your mentee choice? Very important, I would only want to be matched with a mentee who could meet me in person close to my work or home I'd prefer being able to meet face-to-face, however, if the best match for me is in another state, I would be open to a virtual relationship Not important, having the closest possible match is more important to me than location OK Question Title * 19. What importance does industry background have in your mentee selection? Not at all important I'd prefer a mentee from a similar industry I'd prefer a mentee from a different industry Other (please specify) OK Question Title * 20. What motivates you to be part of this mentoring program? OK Question Title * 21. What past mentoring experience do you have? OK Question Title * 22. Please comment on your mentoring style and what you might be able to provide a mentee. OK Question Title * 23. Please add any other information that may help us make the best possible match and/or note any special requests you have regarding how you are matched OK Question Title * 24. Do you require a conversation with the program facilitator prior to match selection? Yes No Other (please specify) OK Thank you for taking the time to complete this application. The Program Facilitator, Karina Butera, will be processing the applications after the close-off date (14 June 2019). You can expect to hear from Karina by mid-July. If you are located in the Sydney or Melbourne area, please diarise of the opening events in your calendar now:MELBOURNE: 5.00-6.30pm on 6 August 2019, at Orbit Legal Resourcing (Corrs), Level 25, 567 Collins StreetSYDNEY: 5.00-6.30pm on 7 August 2019, at Orbit Legal Resourcing (Corrs), Level 17, 8 Chifley SquareOTHERWISE: Opening program webinar 12.00-12.45pm on 8 August 2019 (login details will be provided at a later date). Please note, to ensure a positive experience for both mentees and mentors, we will only match you with a mentee who is believed to be a strong fit. If a suitable match is not found for you, Karina will notify you in early August and you will have the option to be placed on the waiting list for the next program.If you have any questions or concerns, please contact Karina directly at Mentoring_ACC_Australia@karinabutera.com or on 0413 041458. OK DONE