EXPRESSIONS OF INTEREST - IPAA SA Personal Member Mentoring - Mentor

IMPORTANT
Places on the program are limited and not guaranteed. Applications will be considered on the suitability of mentees needs.

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* 1. What is your membership level?

Manager / Next-Exec Personal Member

Executive Personal Member

Professional Personal Member

State Government Member

Corporate Member

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* 2. First Name

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* 3. Last Name

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* 4. Email

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* 5. Phone Number

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* 6. Organisation

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* 7. Position

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* 8. To assist with matching mentors and mentees, please advise your current level

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* 9. Usual work locations

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* 10. I normally work in:

Local Government

State Government

Federal Government

Non-Government Organisation

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* 11. I am: (OPTIONAL)

35 years old and under

Female

Male

Aboriginal and/or Torres Strait Islander

Person with a disability

Other (please specify)

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* 12. I am seeking a mentee who is (OPTIONAL)

35 years old and under

Female

Male

Aboriginal and/or Torres Strait Islander

Person with a disability

Other (please specify)

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* 13. Please rank in order your goals of the mentor/mentee relationship?
Place up to 5 numbers in the boxes to indicate the importance of that particular area (With ‘1’ being the most important).

To further develop my skills including; providing/receiving feedback, communication and interpersonal skills

To contribute to knowledge sharing across the public sector

To increase my personal and professional satisfaction

To stay in touch with emerging issues across the public sector

To assist with career planning

To assist with skills development in these specific areas (please specify below).

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* 1. What is your membership level?

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* 2. First Name

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* 3. Last Name

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* 4. Email

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* 5. Phone Number

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* 6. Organisation

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* 7. Position

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* 8. To assist with matching mentors and mentees, please advise your current level

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* 9. Usual work locations

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* 10. I normally work in:

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* 11. I am: (OPTIONAL)

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* 12. I am seeking a mentee who is (OPTIONAL)

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* 13. Please rank in order your goals of the mentor/mentee relationship? Place up to 5 numbers in the boxes to indicate the importance of that particular area (With ‘1’ being the most important).

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* 14. Assist with skills development in these specific areas:

* 13. Please rank in order your goals of the mentor/mentee relationship?
Place up to 5 numbers in the boxes to indicate the importance of that particular area (With ‘1’ being the most important).