Mentoring 2024 – GEM Registration Form

1. The Basics First

First Name

Last Name

Gender

Organisation (I work for)

Job title

Current role

Mobile

Office phone number (optional)

Secondary email

Job Function (My job function is)

Select one or add your own if not listed

Other

Industry (The industry I work in is)

Select one or add your own if not listed

Other

Manager name

Manager email address

Work experience (Number of years work experience)

Select one

Business address

Business suburb

Business Postcode

Business state

Regional area (I am based in the following regional location)

Other

2. Tell us about yourself and why you'd like to be a GEM Mentee

Our new GEM (Gender Equality Men) program is in recognition that a lot of our NAWO members who are men are keen to stand up and be effective Allies for gender equality. Some have great learnings and insights to share, and others need support to and to be given the tools to get it right. The GEM Program will run as a pilot Mentoring Circle for men who wish to step up as sponsors and allies for both women in their organisations, and gender equality more broadly in their industries.

Do you identify as a man, and are you interested in advocating for gender equality?
YesNo

Are you interested in participating in the GEM (Gender Equality Men) pilot program in 2024?
YesNo

Working style

If you identify with more than one, please pick the one you MOST identify with.

Biography

Work history, Leadership experience, Professional experience, Specialist expertise, Interests/Hobbies Fun fact.

Expectations

What you expect to gain as a mentoring program participant.

LinkedIn (optional)

Please provide a link to your LinkedIn profile.

I have line manager support/commitment for my active participation in the program, including scheduled time off the floor/other work, and tech support and equipment?
YesNo

I commit to furthering my professional development and will prioritise the time to attend the program sessions
YesNo

Do you need any access support to participate in these mentoring sessions (captioning of chats, copies of transcripts to process discussion later, etc)?If yes, we will be in touch to discuss how we can best support you."
YesNo

I understand that a program fee will apply
YesNo

3. Let's Talk about You as a Mentee

Mentee level (I am a)

Other

Session limitations (Are there any considerations which affect your availability?)

E.g. shiftwork, caring responsibilities. If yes, please provide details.

Mentoring Motivations

If you are not already subscribed to receive communications from NAWO, would you like to be?
YesNo

Submit

Mentoring 2024 – GEM Registration Form

Mentoring 2024 – GEM Registration Form

Mentoring 2024 – Gender Equality Men (GEM) Mentee Registration Form

1. The Basics First

2. Tell us about yourself and why you'd like to be a GEM Mentee

3. Let's Talk about You as a Mentee