eMentor Request Form

Request an In2science eMentor

For small group online mentoring (1-3 students)
In2science eMentoring connects interested secondary school students from regional or remote backgrounds with like-minded volunteer university students who act as mentors, with the aim to encourage students to pursue their interest in science, technology, engineering, and mathematics (STEM) to year 12 and beyond.

The mentor and student/s meet virtually once a week for 30-40 minutes over an allocated time period to discuss their common interests in STEM, share their study experiences and explore opportunities for pursuing science and mathematics at university and beyond. Mentoring will take place either one-on-one or between one mentor and a small group (maximum three) of like-minded students.

eMentoring works best when the students selected for the program already have some level of engagement with STEM and you feel confident that they will be motivated enough to attend all sessions with their eMentor on their allocated day/time.

On occasion, there will be opportunities for the mentor to show the students different aspects of the university, i.e. lab space, typical lecture theatre, learning/breakout spaces, etc.

PLEASE COMPLETE ONE FORM ENTRY PER GROUP (eg. if you require 3 eMentors, you will fill out this form 3 times)

NOTE: Placements are dependent on finding a match with a mentor's availability and cannot be guaranteed.

School Details
Are you a metropolitan or regional In2science partner school?*

MetroRegional
Please select your school (Metro):*
Select your school*
If Other was selected, specify school name here
Your first name*
Your last name*
Your email*

Confirmation Emailexample@example.com
Your mobile number
We already have your school landline number on file. Please do not include the leading zero of your mobile number.
Your preferred method of contact

School office numberMobileEmail
School IT contact name/phone/email*
Should we need to assist with troubleshooting tech issues
What career information has been provided to students at school?
This will help us source and provide relevant STEM career resources or information.

Preferred Mentoring Time
Please list three different times in order of preference.

We find that many groups meet over their lunch period, although students must demonstrate a certain level of enthusiasm to attend something that would ordinarily be a break for them!

If eMentoring is occuring during science/maths class time, then please advise the whole lesson time and you can then negotiate with your eMentor the most appropriate time for eMentoring each week.

Alternatively, eMentoring can be treated like a music lesson whereby students leave the classroom (whatever subject it might be) to attend their eMentoring session.
Preferred mentoring time #1*
Preferred mentoring time #2*
Preferred mentoring time #3*
Do any of these student speak a language other than English?
Any additional information you would like to tell us?
Should be Empty: