Linked-In Mentoring Program Application Form Use this form to register to be a Mentor in our Linked-in Mentoring Program. Full name:* - required Date of birth: Address:* - required Email:* - required Phone:* - required Which of the follwing best describes your gender identity? Female Male Trans and Gender Diverse Are you an Australian citizen or meet the criteria of being an Australian permanent resident, a humanitarian visa holder, or a New Zealand citizen Yes No Why do you want to become a mentor?:* - required What do you hope to get out of being part of the program? Do you have any access requirements?* - required [Please Select] Yes No If yes, please specify: Do you hold a current NSW Working with Children Check clearance?:* - required [Please Select] Yes No If yes, please provide Working with Children Check number: Do you sincerely feel that you can make a minimum commitment of one Monday, a week from 10:30am - 3pm for 5 months to the program?:* - required [Please Select] Yes No Do you agree to conduct yourself under the guidance and supervision of the Council/School employee responsible in the Linked-In Mentoring Program?:* - required [Please Select] Yes No How did you hear about the program?* - required I agree all the information I have provided above is correct to the best of my knowledge.* - required I agree to conduct myself under the guidance and supervision of Council/school employee responsible for the Linked-In Mentoring Program.* - required I understand that Council may terminate my volunteering services if I do not comply with any aspect of this agreement.* - required I agree to inform Council of any injuries sustained whilst undertaking volunteering activities.* - required I am willing to undertake any training deemed necessary by Council in relation to my volunteering services to ensure that I comply with all policies, legislative obligations of Council and standards of conduct.* - required I understand that as a volunteer I am expected to maintain the same standards of confidentiality, courtesy and organisational discipline as Council's paid employees.* - required I agree to conduct myself in a constructive and cooperative way with Council staff and with other volunteers and to comply with any safety procedures requested.* - required I understand that I am volunteering my services to Council and will not receive remuneration for my Services (including transport to and from venues).* - required I will inform Council when I no longer wish to be involved in for volunteering activities for the Linked-In Mentoring Program and when I am unable to attend the scheduled volunteering activities.* - required Mandatory field(s) marked with *
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