To be eligible to apply you must be an individual member of AFAANZ or staff at an AFAANZ institutional member.

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1. Email: (Required.)

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2. Name: (Required.)

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3. University

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4. Department/Faculty

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5. Contact phone number: (Required.)

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6. LinkedIn Profile URL:

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7. University Profile URL: (Required.)

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8. Academic Level (Required.)

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9. Are you an early-career (ECA) or mid-career academic (MCA):

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10. What are your motivations for participating as a mentee in the AFAANZ ECA/MCA Mentoring Program (Required.)

Select the areas below you most wish to focus on, will help us match you with the best mentor for you.

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11. Areas for Learning: (choose up to 3) (Required.)

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12. Skills and Strengths to Develop (choose up to 3) (Required.)

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13. Most important topics for mentoring (choose up to 3) (Required.)

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14. How important is it that you can meet your mentor face-to-face?

0: Least Important 10: Essential
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i We adjusted the number you entered based on the slider’s scale.
Thank you for your submission.

If you have any questions please email Martin Bugeja (martin.bugeja@uts.edu.au)

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