Completing this enrolment form is required to participate in the SEN Mentor Program

Information gathered is used to guide the best match between Mentors and Mentees. All information is kept confidential. 

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* 1. Your Full Name

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* 2. Your Current Job Title

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* 3. Your Organisation

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* 4. Your Email

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* 5. Contact Number

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* 6. Mailing Address (for physical resources to be sent)

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* 7. Areas of development most relevant to you at the moment?

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* 8. Years of experience relevant to your role?

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* 9. Please give us a brief synopsis of your professional bio to date.

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* 10. How would you currently rate your confidence and skills in PEOPLE MANAGEMENT?

  Very Poor Poor Average Good Excellent
Managing people and teams
Dealing with conflict
Coaching others
Building trust
Active listening

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* 11. How would you currently rate your confidence and skills in BUSINESS DEVELOPMENT?

  Very Poor Poor Average Good Excellent
Delivering on targets
Building strategies
Project management
Financial Management

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* 12. How would you currently rate your confidence and skills in PROFESSIONAL & PERSONAL DEVELOPMENT?

  Very Poor Poor Average Good Excellent
Negotiation skills
Communication skills
Time management
Work-life balance
Leadership
Building Networks

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* 13. What is your preferred role of participation in the SEN Mentor Program?

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* 14. If you selected MENTEE / BOTH, what are you hoping to achieve by participating as a MENTEE in the program? Choose as many options as relevant. (If you selected MENTOR please select 'Not Applicable')

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* 15. If you selected MENTEE / BOTH, please identify at least one specific goal that you would like to work towards with your Mentor (if you selected MENTOR please type 'nil')

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* 16. If you selected MENTOR / BOTH, what are you hoping to achieve by participating as a MENTOR in the program? Choose as many options as relevant.  (If you selected MENTEE please select 'Not Applicable')

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* 17. If you selected MENTOR / BOTH, please identify at least one specific goal that you would like to work towards with your Mentor (if you selected MENTEE please type 'nil')

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* 18. If you selected MENTOR / BOTH, how would you rate your confidence in being a mentor? (If you selected MENTEE please select 'Not Applicable')

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* 19. What is your preferred (maximum) frequency of communication with your Mentor/Mentee?

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* 20. The fun part!
Help us to get to know you better.
Please choose any of the options below that best describe you!

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* 21. Social Links (optional)

Thank you for completing the SEN Mentoring Enrolment Survey. 

The program will be launching in April 2022.

Keep an eye out for more details and feel free to contact Shahrin at the SEN office if you have any questions - projects@studentexperiencenetwork.com.au or 0405 839 694.

In the meantime, make sure you join the closed SEN Mentor Program LinkedIn Group

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