Mentor Application Form

Kia ora
If you haven't already, please take time to read the mentor application guidance available on the mentor an aspiring or beginning principal webpage on the Education Workforce website before completing this application form. We recommend drafting your long form responses to the career, expertise and leadership questions before copying them into your application.

Section 1: Personal and demographic details

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* 1. Name

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* 2. MoE number

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* 3. Your preferred contact email

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* 4. Your contact phone number

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* 5. Ethnicity
You don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

Māori

NZ European

Samoan

Cook Island Māori

Tongan

Niuean

Chinese

Indian

Other (please specify)

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* 6. Gender identity
You don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

Female / Wahine

Male / Tāne

Non-binary

Prefer not to say

Prefer to self-describe

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* 7. School | Kura name

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* 8. School number

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* 9. Te Mahau region

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* 10. Immersion setting
To assist with matching, please tick boxes that best describe your recent experience.

English medium

Māori language in English Medium (Reo Rua/Rumaki)

Māori medium | Kaupapa Māori

Pacific immersion

Other

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* 11. School type and context
To assist with matching, please tick boxes that best describe your recent experience.

Full Primary

Contributing Primary

Intermediate / Middle

Secondary

Area / Composite

Rural

State Integrated

Specialist School

Other (e.g., Attached Boarding, RTLB cluster - please specify)

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* 12. I am applying to register as a mentor for:
(You can apply for both programmes)

Aspiring Principal/Tumuaki programme- 1-year engagement

Beginning Principal/Tumuaki programme- up to 2-year engagement
(Some 2026 participants may be part way through their programme of support or be an acting principal for more than 1 term)

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17% of survey complete.

Mentor Application Form

Question Title

* 1. Name

Question Title

* 2. MoE number

Question Title

* 3. Your preferred contact email

Question Title

* 4. Your contact phone number

Question Title

* 5. EthnicityYou don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

Question Title

* 6. Gender identityYou don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

Question Title

* 7. School | Kura name

Question Title

* 8. School number

Question Title

* 9. Te Mahau region

Question Title

* 10. Immersion settingTo assist with matching, please tick boxes that best describe your recent experience.

Question Title

* 11. School type and contextTo assist with matching, please tick boxes that best describe your recent experience.

Question Title

* 12. I am applying to register as a mentor for:(You can apply for both programmes)

* 5. Ethnicity
You don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

* 6. Gender identity
You don’t have to answer this question. Your decision not to respond will not affect your application. We will only use this information for aggregated and anonymised reporting.

* 10. Immersion setting
To assist with matching, please tick boxes that best describe your recent experience.

* 11. School type and context
To assist with matching, please tick boxes that best describe your recent experience.

* 12. I am applying to register as a mentor for:
(You can apply for both programmes)