Embark Mentor EOI Form
EXPRESSIONS OF INTEREST EXTENDED UNTIL 29 MAY. FIRST SESSION ON 10 JUNE. Contact Mia Deans, Embark Lead for further information (0401 849 003, mia.deans@canberra-metro.com.au)
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Current Role
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Organisation
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Provide a brief overview of your key career experiences and your current role & responsibilities
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Describe your career highlights and/or strongest capabilities (e.g., knowledge, skills, abilities)
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Have you been a mentor in a structured mentoring program before? If Yes, please provide detail and year(s) involved.
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Why are you interested in mentoring for the Embark Program?
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Are you aware of the commitment required to be a mentor and that it extends beyond the completion of this program? e.g., offering ongoing supporting
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Yes
Unsure - Please follow up with me
Are there any diversity or other considerations you would like taken into account when matching you with a mentee (i.e., gender, Aboriginal and Torres Strait Islander, cultural and linguistic background)?
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What areas of Development are you best suited to discuss with your mentee (please select as many applicable areas as you like):
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Career Development and/or planning
Leadership
Communication and/or Influencing
Decision Making and/or Problem Solving
Knowledge and understanding of systems and/or processes in your role
Building Professional networks
Developing personal brand
Other
If you selected Other above, please outline other areas of Development you are best suited to discuss with your mentee
Submit Expression of Interest
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