Expression of Interest to be a MENTOR with Roses in the Ocean
This form will allow you to express an interest in becoming a Mentor with Roses in the Ocean
Date of Application *
Your answer
Hi - thanks for connecting with us!
Thank you so much for reaching out and showing interest in becoming involved as a Mentor within the Roses in the Ocean Mentoring Program.

Please ensure you have read the ‘Am I Ready?’ document ( ) before completing this Expression of Interest.

Applications to be a Roses in the Ocean Mentor are accepted at any time of the year.

Following receipt of your Expression of Interest, a member of the Roses in the Ocean team will contact you to have a conversation about you, your lived experience and how you feel you are ready to become a Mentor.

How did you hear about the Mentoring Program?
Full name *
Your answer
Year of Birth *
Your answer
Street Address *
Your answer
State *
Your answer
Best day time contact number *
Your answer
Mobile Number
Your answer
Email address
Your answer
Do you identify as a member of any of these groups?
Please select all that apply to your lived experience *
Briefly outline other experience that supports your application to be a Mentor.
Your answer
What is it that you would like to achieve by becoming a Mentor? *
Your answer
Describe what you do on a daily/weekly basis to nurture and take care of yourself. *
Your answer
Please read each statement and indicate your agreement before submitting your application.
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