Please complete this form if you are considering becoming an ESA NSW Branch MENTEE. Once submitted one of the Council members will be in touch as soon as possible to discuss your application. MENTORS- there is a different application form for you.

Personal Information

Title

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First Name*

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Last Name*

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Address*

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City*

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State

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Post Code

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Email address*

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Best Phone #*

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ESA Member Status*

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Gender*

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Date of Birth*

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Background Information

Which best describes your current situation

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Year of university graduation

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If you selected Other please provide details

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University attended

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Degree attained

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What work experience do you have, if any (most recent)?*

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Please upload your CV

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And verifiable Uni Transcript /Statment of Results

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Industry Preference (select at least one)

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If you selected Other please provide details

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What are your reasons for applying to be a Mentee? (150 words)*

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Who is your ideal Mentor? (150 words)*

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Mentors from a diverse background may be able to provide more tailored advice to mentees from the same background. Please state if you have any preference for a mentor of a diverse background. *

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