Mentoring 2024 – Mentee Registration Form

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Mentoring 2024 – Mentee 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

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

For the first time, NAWO will be able to offer sponsored places to women based in Victoria and working in manufacturing and energy who are seeking mentorship. We also have a small range of opportunities for women wishing to transfer into the energy sector. The sponsored program will target regional women in the above industries and women working in SMEs, although it is not limited to these areas. Would you like to apply for an Office for Women Sponsored Place?
YesNo

Are you a woman (including trans or gender diverse identities) working in Victoria?
YesNo

Do you work in (please tick which applies)
Energy sectorManufacturing sector

If you are eligible for a sponsored place we will be in touch with further details.

Do you want to work in/transition to the energy sector?
YesNoN/A

Designated Career Stage Circles - would you like to participate in a Mentoring Circle with a focus on any of the following career stages?
YesNo

If yes, please tick any that apply:
Digital OperationsDesigning for Inclusive Culture (HR, WHS, and Corporate roles)Aspiring Leader (not currently in a leadership role)Managing Work and Carer CommitmentsNew Leadership Role (just started a leadership role)Experienced Leaders Looking to the C SuiteInclusive Leadership (how to lead for diversity and inclusion)New to Operations (new to your field or industry)

If you are eligible for a sponsored place we will be in touch with further details.

Mentoring Format (My 1st preference for mentoring is)

Mentoring Format (My 2nd preference for mentoring is)

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