Please complete this survey before Friday 17 May

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* 1. Please enter your personal information:

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

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* 3. Are you a member of the ACRS?

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* 4. Involvement as a Mentor requires a commitment to meeting with your Mentee 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 Mentee?

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* 5. Would you be willing to take on more than 1 Mentee?

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

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* 7. Are there any other areas you believe you could mentor in?

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* 8. How long have you worked in road safety (years)?

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* 9. Please describe your road safety area of work and experience. Please provide enough information (e.g. areas of expertise or specialisation) to help us match you to a suitable Mentee.

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* 10. Other comments:

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