AUSIT Mentoring Program - Mentee Referee Form
Your name (first name and last name) *
E.g. John Smith
Your answer
Your email *
Your answer
What is your current position? *
E.g. Senior lecturer/Constable/Teacher/Freelancer, etc.
Your answer
What is your current employer? *
E.g. The University of New South Wales/Queensland Police/Toowong Primary School/Self-employed, etc.
Your answer
Are you an AUSIT member? *
Are you a program coordinator/staff member of AUSIT affiliate? *
What is your AUSIT member number?
Your answer
What's the mentee's name? *
E.g. John Smith
Your answer
How many years have you known this mentee? *
Your answer
This referee form is submitted by *
Please insert your full name below.
Your answer
By submitting this form, I declare that, to my best knowledge, the aforementioned mentee is of good character and suitable as a mentee for the AUSIT Mentoring Program. *
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