ECR Mentoring Program 2026: Mentee Nomination Form

To nominate as a mentee for the program, please complete this form
Personal Information
1.Email:(Required.)
2.Name:(Required.)
3.Contact phone number:(Required.)
4.University Profile URL(Required.)
Work and Education
5.Position Title:(Required.)
6.Academic Level(Required.)
7.University(Required.)
8.Department/Faculty(Required.)
9.Campus Location (City)(Required.)
Personal Background
To ensure the best mentor match, we would like to understand more about you and your motivations for joining the program.
10.What are your motivations for participating as a mentee in the AFAANZ ECR Mentoring Program(Required.)
11.About Me:(Required.)
12.Please indicate your location preference for mentoring sessions (tick all that apply)(Required.)
Areas of Learning
Selecting the areas you have most expertise in will help us match you with the most appropriate mentor
13.Functional Areas of Your Current Role (choose up to 3)(Required.)
14.Skills and Strengths to Develop (choose up to 4)(Required.)
15.Topical Areas for Mentoring (choose up to 4)(Required.)
Thank you for your submission.

If you have any questions please email Martin Bugeja (martin.bugeja@uts.edu.au)