EIANZ WA Division 2026 Mentoring Survey

1.Contact Details(Required.)

Name

Position title

Organisation

Email address

Work phone number

Mobile phone number

2.What would you like to achieve by participating in the Mentoring Program? Consider in terms of your current role and career development. E.g. networking opportunities, career guidance/ goal setting, decision making, communication, understanding the public/private sector or stakeholders, etc.

3.Please describe any previous involvement in formal or informal mentoring relationships (if applicable):

4.Please provide a short overview of your qualifications, work history, skills and experience:

5.Please provide a short overview of the learning and development activities (professional and/or extra-curricular) you have undertaken in the last 12 months:

6.Please write a bio which will be used in the speed matching information booklet (max 100 words)

7.Please list the 3 things you will bring as a mentee to the Mentoring Program.

8.Please indicate if you prefer a mentor from the following categories. (whilst every effort will be made to match mentees based on their preferences, this cannot be guaranteed).

Culturally diverse (please specify)

9.Please provide any other relevant information to support your application

10.Mentee's agreement
By expressing interest in the WA Division 2026 Mentoring Program, I agree / acknowledge the following (please read all statements below and tick check boxes to agree).(Required.)

The information contained on this form will be used for matching purposes

Every effort will be made to match me with a suitable mentor based on my skills, objectives and preferences, though matching and placement on the program is not guaranteed

I will abide by the Mentoring Guidelines and maintain confidentiality with my mentor and other program participants

I will drive the relationship including scheduling meetings with my mentor as negotiated

I will maintain open and honest communication with my mentor

I will maintain contact with the Mentoring Program coordinator

I will attend any events associated with the program

I will participate in an evaluation of the program

Current Progress,

0 of 10 answered

EIANZ WA Division 2026 Mentoring Survey | Mentee