Mentor Application

Mentor Application
Your involvement in this programme enables you to share you practical skills, work alongside individuals, whānau and communities to build life skills, enabling individuals and whānau to take control of their own futures.

Thank you for your interest in becoming a SuperSkills mentor for Central Otago REAP.
Name*

First NameLast Name
Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number (best one to contact you)*
Email*
example@example.com
Please select/share the skills you have that will be useful in this role*

CookingMeal planningMeal preparationHousehold organisationHygieneGardeningAbility to support/tautoko families/whānauSupporting Mums with babies/childrenSewingCraft workDIYFinancial mentoringBasic home maintenanceOther
Requirements: (please read and tick that you agree to these requirements)
- Time and passion to support others
- Pass the NZ Police Vetting Assessment
- Be able to provide support during the duration of your SuperSkills programme
- Be available for training and Central Otago REAP meetings as required
- To commit to and follow the Central Otago REAP and SuperSkills purpose and values.
I have read the above requirements and agree*

Yes
Date*

DayMonthYear
Should be Empty: