SMAANZ Mentor Application Form
If you are filling out this form you are interested in becoming a SMAANZ Mentor. Please note, you must be a SMAANZ Member to apply to be a Mentor (http://smaanz.org/membership/). Whilst we accept EOI for our program at any time, we match Mentees with Mentors twice a year (February 1st, and August 1st).

1. Fill in this form

2. You will receive confirmation of your application within 2-3 business days via email

3. We will advise you when the next match up will be occurring (either February 1st or August 1st)

4. You will receive an email from our Mentor Program Chair closer to the match up date if further information is required

3. Mentors and Mentees will be notified of their match by the SMAANZ Mentor Program Chair, and once contact details are exchanged the Mentor and Mentee can commence their relationship

If you have any questions, please contact info@smaanz.org

First Name *
Your answer
Last Name *
Your answer
Are you a current SMAANZ member? *
Please note, you must be a current SMAANZ Member to be matched as a Mentor or a Mentee). Your application will be deferred if you are not a current member. You can become a SMAANZ member through our website: http://smaanz.org/membership/
Email Address *
Please submit the email address you check most regularly
Your answer
Phone Number *
Please write in the format XXXX XXX XXX eg 0412 345 678
Your answer
What is your Job Title? *
Your answer
Which University do you currently work at? *
Your answer
Which mentor position(s) are you interested in? *
Required
About You
Please let us know more about yourself, and why you would like to become involved in our Mentor Program. Please fill in as much information as possible so we can ensure we are able to find you the best match suited to your level of experience and expertise.
Why would you like to become a SMAANZ Mentor? *
Your answer
What are your areas of expertise in research and teaching? *
Your answer
What are your skills, abilities and experiences relating to mentoring? *
Your answer
What personal outcomes would you like to achieve as a Mentor? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms