ACRS Mentoring Program 2024 - Mentees Please complete this survey before Friday 17 May Question Title * 1. Please enter your personal information: First Name Last Name Preferred Name Title Gender Country of Residence Email Address 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? Yes, I am an Individual Member of the ACRS Yes, I am a Corporate Member of the ACRS No, I am not 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? Yes No Question Title * 5. Do you have experience in road safety? To a great extent Somewhat Very little Not at all Question Title * 6. Which of the following best describes the area of road safety you primarily work/ed in? Government Industry Research NGO Other (please specify) Does not apply Question Title * 7. Which of the following areas would you prefer your mentor to work in? Government Industry Research NGO Other (please specify) Does not apply 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: Done