EOI for ACT Women's Mentoring Program - Cohort 12022 (commencing June 2022)

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* 1. I wish to join the ACT Outdoor Women's Mentoring Program as a; (Please note mentors do not need to reside in the ACT, while the mentee's do)

Mentor

Mentoree

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* 2. I will be able to dedicate 1/2 hour per week (on average) to this program over 10 weeks.

YES

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* 3. What are you hoping to gain from this program?

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* 4. By completing the below you agree to receive communications from Outdoors NSW & ACT

Name

Company

Address

Address 2

City/Town

State

Postal Code

Email Address

Phone Number

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* 5. Are you a member (or is your organisation a member) of Outdoors NSW & ACT?

Yes

No

No, but interested to join

Not Sure