EIANZ WA Division 2026 Mentoring Survey | Mentor

Thank you for expressing an interest in becoming a mentor in the EIANZ WA Division 2026 Mentoring Program.
Mentors and mentees will be matched based on the information provided in this expression of interest and after a speed dating matching event. Placement on the program cannot be guaranteed.
The Mentoring Program Coordinator may contact you to discuss your expression of interest or request further information to assist in the matching process.
1.Contact Details(Required.)
2.What would you like to achieve by participating in the mentoring program? E.g. networking opportunities, career guidance/goal setting, coaching, communication, knowledge sharing.
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 outline any affiliations with networks and professional memberships or associations.
6.Please write a bio which will be used in the speed matching information booklet (max 100 words)
7.Overall, please list the 3 things you will bring as a mentor to the Mentoring Program.
8.Please indicate if you prefer to mentor a mentee from the following categories. (whilst every effort will be made to match mentors based on their preferences, this cannot be guaranteed).
9.Please provide any other relevant information to support your application
10.Mentor'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.)
Current Progress,
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