Mentee Application HomeAbout the IAHA Mentoring ProgramSearch Mentor RegisterApply to BE a MentorApply to GET a MentorFAQs I Want A Mentor Use this form to Apply to GET a Mentor Personal InformationFormIDName* First Last Location* Town/City State/Territory Mobile Phone*PhoneEmail* I am:*AboriginalTorres Strait IslanderAboriginal and Torres Strait IslanderNon-IndigenousIAHA Membership Type* Full Member – Student Full Member – Graduate Associate Member – Individual Discipline/Profession/Other Experience:*Please list your discipline and/or profession. If you do not have a degree or formal education, please describe your areas of experience.DegreePlease list your degree (optional)If applicable, are you currently working in your chosen profession/discipline? (Optional)YesNoBriefly describe your current field of workMentoring PreferencesWhat particular area(s) would you like mentoring in?* Building Confidence Business Development Career Development Communication Conflict Management Coping With Study Cross-Cultural Relationship Cultural Support Dealing with Lateral Violence Dealing with Racism Decision Making Diplomacy Engaging Stakeholders Goal Setting Leadership – Community Leadership – Organisation Leadership – Personal Managing People or Staff Marketing Networking Organisational Finance Management Profession as Stated Project Management Public Relations Public Speaking Relationship Management Setting Boundaries Stress Management Team Building Time Management Work-Life Balance Other Please note the other area(s) you would like mentoring in that were not listed.Other mentoring preferences:(e.g. male/female, same state, same discipline)Tell us something interesting about yourself*(professional/personal qualities, hobbies, interests)Mentor SelectionPlease use the fields below to provide input on who you would like to have as your mentor. You may choose up to three mentors from the IAHA Mentor Database and/or choose a mentor from your community. Mentor Register I have searched the IAHA Mentor Register and have preferences for the following mentor/s in the areas of expertise I am seeking: Preference 1.Preference 2.Preference 3.AND/OR I have identified a person in my community that I would like to approach to become my mentor through the IAHA mentoring program.YesNoIAHA's Membership Officer will contact you to discuss further. DisclaimerDisclaimer 1* I understand that you will endeavour to meet all of my preferences but that may not be possible Disclaimer 2* I give permission to IAHA to share my personal information or details for the purposes of finding a mentor/mentee as part of the IAHA Mentoring Program.
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