Next Shift Mentor Program Expression of Interest

Next Shift Program Expression of Interest

PEER BUSINESS MENTORS | INDUSTRY BUSINESS MENTORS | BUSINESS CHAMPIONS
Nomination Details
Who is this nomination for?
Nominee's full name

First NameLast Name
Nominee's email
example@example.com
Nominee's phone number
Please enter a valid phone number.Format: (000) 000-0000.
Nominators Full name if nominating someone else

First NameLast Name
Nominator's email
example@example.com
Peer Business Mentor
Have you previously served in an Emergency Service organisation?
Which Emergency Service organisation did you serve in?
When did you leave the Emergency Service organisation?

MonthDayYear
Date
How did you move on from the Emergency Service organisation?
Business name or Qualification
Industry type
Current role
What do you bring to The Next Shift Program as a Peer Business Mentor?
Industry Business Mentor
Industry type
Business name
Role
Years of experience
Why do they want to mentor injured Emergency Service workers/volunteers?
Do you have a current Mental Health First Aid training accreditation
If yes, please update a copy of your certificate

Cancelof
If no, are you willing to complete this training (Provided free by Emerge & See - Nationally recognised qualification)
The Next Shift Business Champion

(only complete if you are willing to look to employ injured Emergency service workers within your workplace)
Will you proactively provide supportive employment pathways for former emergency service workers and volunteers?
Are you willing to undertake education, training, and program updates?
Industry type
Types of skills you need to fill
Positions you ordinarily need to fill
Additional comments/information about your Business and why you want to be a NEXT SHIFT BUSINESS CHAMPION
Should be Empty:

Next Shift Program Expression of Interest

Nomination Details

Peer Business Mentor

Industry Business Mentor

The Next Shift Business Champion