Please complete this survey before Friday 17 May

Question Title

* 1. Please enter your personal information:

Question Title

* 2. What is your time zone? (e.g., Queensland, Australia is Australian Eastern Standard Time (AEST))

Question Title

* 3. Are you a member of the ACRS?

Question Title

* 4. Involvement as a Mentee requires a commitment to meeting with your Mentor regularly (at least one hour per month), at a time mutually beneficial for you both.

Can you firmly make this commitment to meet regularly with your Mentor?

Question Title

* 5. Do you have experience in road safety?

Question Title

* 6. Which of the following best describes the area of road safety you primarily work/ed in?

Question Title

* 7. Which of the following areas would you prefer your mentor to work in?

Question Title

* 8. Please describe your road safety area of work and experience.

Question Title

* 9. Please list 2-3 things that you would like to get out of this program.

Question Title

* 10. Other comments:

T