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?*

MyselfAnother person
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?*

YesNo
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?*

VolunteeringEducationEmploymentStarted my own business
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?*
The Next Shift Business Champion
Will you proactively provide supportive employment pathways for former emergency service workers and volunteers?*

YesNo
Are you willing to undertake education, training, and program updates?*

YesNo
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