Empower Mentor Application
Thank you for your interest in our organisation. Please note: MENTOR APPLICATIONS ARE NOW CLOSED IN AUCKLAND UNTIL FURTHER NOTICE DUE TO SUCH HIGH INTEREST. For direct queries, please email mentoring@empoweryouth.org.nz. We are still accepting applications for Wellington.

About Empower:
Empower is a youth-led mentoring and support initiative to try address the underrepresentation of refugees and other minority youth in higher education in New Zealand.

The information provided in this form is to assess your suitability for the role of Mentor within Empower. In accordance with the Privacy Act 1993, the information you provide will be used for management and administration of the application process.

Please note you must be between the ages of 18 and 35 years to apply for this role.

Are you applying to be a mentor in Auckland or Wellington? *
Full name *
Your answer
Age *
Your answer
Date of birth *
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/
DD
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YYYY
Gender *
Main contact number *
Your answer
Secondary contact number
Your answer
Email address *
Your answer
Best contact method *
Home address *
Your answer
In what region are you able to meet your mentee? *
Required
Are you a New Zealand Citizen/Permanent Resident? *
Do you have a student/working visa?
What is your ethnicity? *
Required
Do you have a refugee background? This will remain confidential. *
Languages spoken *
Your answer
Do you have any health problems or dietary requirements? *
Your answer
Do you have a disability? If so, please provide details on what support you require.
Your answer
Emergency contact name *
Your answer
Emergency contact number *
Your answer
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