StrideMentor - Peer-Mentor Application

Thanks for your interest in StrideMentor!

This year, for past participants of StrideMentor or those born between 2010-2012, we are excited to be introducing a peer-mentor stream. An opportunity for those who’d like to help create community and encourage engagement and interaction in these sessions.

There will be two peer-mentor places available with each mentor. To apply to be involved, please complete the below form.
Please ensure you complete this form with a parent or guardian.

By registering your interest, you consent to the collection, use, and sharing of your personal information between Little Athletics Victoria and Athletics Victoria, its member association(s), program researchers, and grant funding organisations. Such information includes, but is not limited to, name, date of birth, postcode, phone number, email address, gender, membership status, and/or qualifying questions as included herein.
PERSONAL INFORMATION
Personal Information(Required.)
To ensure that mentors can appropriately cater to selected participants, can you please advise if you have a disability
Is there any other information that you would like to share about your disability?
Parent/Guardian Contact Details(Required.)
AFFILIATION
Little Athletics Victoria and Athletics Victoria Club Membership(s)(Required.)