ACC Australia Mentee Application Form 2020A 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 3 February to 30 October 2020 I am committed to attending the opening and closing events in my state or the opening webinar I am committed to meeting (either in person or in a virtual capacity) with my mentor monthly Comment (if required): OK Question Title * 3. I understand that if a suitable mentor is confirmed for me a non-refundable administrative fee will apply (tick the option that applies to you) I applied on or before 22 November, so a fee of $345 (plus GST) will be invoiced I applied after 23 November, so a fee of $395 (plus GST) will be invoiced I have applied as a mentor and mentee and if a suitable mentee match is found no fee shall apply, it will be $345 (plus GST) if no suitable mentee is found I have applied as a mentor and mentee and if a suitable mentee match is found no fee shall apply, it will be $395 (plus GST) if no suitable mentee is found Other (Please specify) OK Question Title * 4. 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 * 5. Phone - Mobile OK Question Title * 6. Phone - Business hours OK Question Title * 7. Email address OK Question Title * 8. Current Position Title OK Question Title * 9. Current Company/Organisation OK Question Title * 10. Geographical location (town, city or suburb) OK Question Title * 11. State ACT NSW NT QLD SA TAS VIC WA OK Question Title * 12. Years of overall legal experience OK Question Title * 13. Years of in-house experience OK Question Title * 14. Other employment experience outside of law OK Question Title * 15. 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@accglobal.com) OK Question Title * 16. In what industries do you have an interest? 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 * 17. In which areas of specialisation do you have an interest? 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 * 18. In which of these professional development areas are hoping to improve with the help of your mentor? 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 * 19. What motivates you to be part of this mentoring program? OK Question Title * 20. What do you hope to achieve through participation in this program? OK Question Title * 21. How important is geographical location to your mentor choice? Very important, I would only want to be matched with a mentor 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 * 22. What importance does industry background have in your mentor 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 * 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 (9 December 2019). You can expect to hear from Karina by mid-January. If you are located in the Sydney or Melbourne area, please diarise of the relevant opening event now:SYDNEY: 5.00-6.30pm on 3 February 2020, at Orbit Legal Resourcing (Corrs), Level 17, 8 Chifley SquareMELBOURNE: 5.00-6.30pm on 4 February 2020, at Orbit Legal Resourcing (Corrs), Level 25, 567 Collins StreetOTHERWISE, please diarise the opening program webinar 12.00-12.45pm on 5 February 2020 (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 mentor who is believed to be a strong fit. If a suitable match is not found for you, Karina will notify you by the end of January 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@accglobal.com or on 0413 041458. OK DONE