RSL&SCA Mentor Program: Mentee Application

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* 1. Personal Details

Title

First Name

Last Name

Preferred Phone

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* 2. Address Details

Address

Address 2

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 mentor (1- most preferred/ 4 - least preferred)

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* 6. What are your career goals over the next 2-5 years?

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* 7. List 3 specific goals you wish to focus on in the Mentoring program with your mentor.

Goal 1

Goal 2

Goal 3

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* 8. Describe the type of mentor you would ideally like to be matched with.

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* 9. Specify the industry and role experience of your best-fit mentor.

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

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* 11. Describe what you will contribute to the mentoring process.

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* 12. Is there anything else you wish to note that may assist when matching you with a possible Mentor?

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* 13. Please list some of your career highlights

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* 14. Please email your resume to kyliegordon@rslservicesclubs.com.au or complete your employment/ education history below.

Position 1 (current/ most recent)

Position 2

Position 3

Position 4

Qualification/ Degree 1

Qualification/ Degree 2

Qualification/ Degree 3