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Mentoring


MEA Home Mentoring

Title:
First Name:
Last Name:
Post nominals:
Company:
Position:
Years in role:
Address:
Telephone:
Fax:
Email:
Special Requirements (dietary/physical):
I wish to apply for:
Mentor
Mentee
Reason for applying to be a Mentor or Mentee i.e. What skills are you looking to offer or develop?
Have you been a Mentor or Mentee Previously?
Yes
No
If so please provide details:
Area of interest:
Corporate Governance
Marketing
Sales
Human Resources
Finance
Operations
Business Management
Research
Other (please specify):
Qualifications & Achievements (if applicable):
   
Membership of other associations (if applicable):
 
 

Attachments

Please attach a short CV (no more than 1 x A4 page)*


Please attach a recent photograph (size no bigger than 2mb)*

Declaration:

If selected to participate in the MEA / BENCHMARQUE Mentoring NSW Program I confirm commitment to the following:

Mentors:  Monday 27th August 2012, 4.00pm - 6.00pm (MEA Office, Suites 5 & 6, Level 1, 1 McLaren St North Sydney NSW 2060)
Mentees:  Thursday 30th August 2012, 4.00pm - 6.00pm (MEA Office, Suites 5 & 6, Level 1, 1 McLaren St North Sydney NSW 2060)

I agree to meet with the allocated Mentor / Mentee at the agreed minimum times during the minimum 6 month - 9 month period program period
Mentees: I attach a letter from my employer approving my participation in the program and acknowledgment of commitment required to successfully complete the program.
I agree to be contacted on a regular basis by the MEA Facilitator/Manager as appropriate. I am available for the Launch date Tuesday 25th September 6pm-8pm (Venue TBC)


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