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DWLP Mentor Application Form 2023
Diverse Women's Leadership Program - Mentor Application
Thank you for your interest in the 2023 Diverse Women's Leadership Program. If you have any questions, please email Alicia on alicia@alyceum.com.au.
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1.
Please complete the contact details:
(Required.)
First Name
Last Name
Suburb you live
Suburb you work
Email Address
Phone Number
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2.
Please complete the contact details:
(Required.)
Occupation
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Employer
*
Country of Birth
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Languages spoken
Cultural background
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Religious affiliation
*
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3.
Please share a biography of up to 150 words (written in third person) about your career and community involvement.
(Required.)
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4.
What do you feel you can most contribute to a mentor?
(Required.)
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5.
Do you have some understanding of women from culturally and linguistically diverse backgrounds or willingness to engage with information to gain an understanding?
(Required.)
Yes
No
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6.
I agree to commit to the following mentoring:
- one triad meeting in September
- three one-on-one meet ups with each participant during September and October (one mentor meeting with each participant each month)
- one triad meeting in December
We suggest 1.5 hours for the triad meet ups and 1 hour for the one-on-one sessions but keep it flexible for you to define and decide.
(Required.)
I agree
I don't agree
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7.
Would you be interested in attending one of the Saturday forums in the capacity of a mentor during the day? You would have the opportunity to meet and interact with both the cohorts and provide support during table activities during the day. This is optional.
(Required.)
Community Leadership Forum - 23 September 2023
Career Leadership Forum - 21 October 2023
Civic Leadership Forum - 25 November 2023
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8.
Can you commit to the Mentor briefing for up to 2 hours on the 27th July?
(Required.)
Yes
No
None of the above
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9.
Can you attend the DWLP Graduation on the 5 December?
(Required.)
Yes
No
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10.
Are you willing to engage and work with participants to build their confidence, broaden their networks and seek leadership and career opportunities in line with their goals and aspirations?
(Required.)
Yes
No
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11.
What attracted you to become a volunteer mentor?
(Required.)
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12.
What are you hoping to gain through mentoring?
(Required.)
13.
What skills, experience and/or hobbies do you have which may contribute to your volunteering?
14.
What do you hope the participants gain from the mentoring experience with you?
15.
How did you hear about this volunteer mentoring opportunity?
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16.
If selected as a mentor, are you happy to be added to a Mentor Whatsapp group and have your name, phone number and email shared amongst the mentors?
(Required.)
Yes to the WhatsApp Group
Yes to contact details shared amongst the mentors
No to the WhatsApp Group
No to contact details shared amongst the mentors