Mentoring Registration Form

Please give careful consideration to completing this form in detail so we can pair you with a suitable mentor/mentee. Set aside 10-15 minutes to complete this form.

 Response required 
 Complete it Mentor
 Complete it Mentee




Career Outline

*Please select whether you would like to take part as a Mentor or Mentee in the program.

*Preferred meeting location/s (choose all that apply)

*Age Range





When you click 'Submit' you will be directed to a new page. If this page does not appear, check that you have answered all required questions, and try again.

For further information about the program, please contact Sally Lansbury via  or telephone on (03) 9654 4900.

Commitment to mentoring sessions is important to ensure the most effective program and relationships.  We recommend mentoring pairs meet up/converse every 3 – 4 weeks for the duration of the program (August - December 2017).

The Faculty has a Privacy Policy to ensure that it handles private information about individuals responsibly. The Privacy Policy is available at and may be amended from time to time.