RSL&SCA Mentor Program: Mentor Application Form

This application form and your CV will be used in matching you to the best-fit mentee.

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* 1. Personal Details

Title:

First Name:

Last Name:

Post Nominals:

Email:

Preferred Phone:

Alternate Phone:

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* 2. Address Details

Address:

Suburb:

State:

Postcode:

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* 3. Your age range

18-24

25-34

35-44

45-54

55-64

65+

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* 4. How did you hear about the RSL&SCA Mentoring Program?

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* 5. Please rank the way you would prefer to contact your mentee in order (1 - most preferred/ 4 - least preferred).

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* 6. Describe the type of mentee you would ideally be matched with.

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* 7. Specify any clubs or companies you SHOULD NOT be matched with.

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* 8. Please describe your career highlights.

1

2

3

4

5

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* 9. Please note key learnings from throughout your career, that you would like to share with your mentee.

1

2

3

4

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* 10. Please email a copy of your CV to kyliegordon@rslservicesclubs.com.au or enter your employment and education details in the next section.

Position 1 (most recent/ current)

Position 2

Position 3

Position 4

Qualifications/ Degree 1

Qualifications/ Degree 2

Qualifications/ Degree 3