Mentor Application Form
Please email to Katie Sheridan, Career Programs Officer ([email protected])
Name:
Gender:
Job Title:
Unit /Department:
Location:
Grade:
Contact Number:
Email:
Considerations eg gender preference, cultural considerations
What are you expecting to achieve from being mentored?
What preferences do you have in relation to your mentor’s profile (e.g. business area, seniority,
experience)?
What skills, experience, knowledge or contacts would you seek in a mentor?
What skills and knowledge are you looking to develop through being mentored?
What are your career goals for the next one to three years?
What are your key strengths and experiences and how could these benefit the person mentoring
you?
Is there any additional information about you which you feel would be useful to help us identify a
suitable mentor?