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Expression of Interest Form – Mentee

The AIG Mentoring Program is an initiative of the National Graduate Committee to provide early-career geoscientists, MSc/PhD Candidates and undergraduate students, with practical advice and feedback on career and personal development from senior industry professionals.

The AIG Mentoring Program will run from April to November 2019, allowing time for the development of strong relationships between mentees and mentors. Mentor-mentee contact will be through three formal group meetings/social events as part of the program, plus private meetings arranged between pairs. Joining the program involves a commitment to attend the formal meetings (where possible) and to meet regularly with your pairing between the formal meetings (at least once a month but fortnightly meetings are recommended). Please read the AIG Mentoring Handbook for 2019 for further information if you are unsure of your ability to commit to the program. Mentees successfully completing the program will receive a certificate of completion.

Registration for the program is FREE OF CHARGE for both mentees and mentors.

PLEASE NOTE: AIG membership is a requirement to participate. Please see below to for an application form.
https://www.aig.org.au/about-aig/membership/membership-application-approval-process/

Please complete the following details if you wish to register as a MENTEE in the 2019 mentoring program. Please note that the AIG will make every attempt to match you with an appropriate mentor, but there are no guarantees that a mentor will be available for every mentee or that a close match with your area of interest can be achieved. If you are paired with a mentor, this form will be sent to your mentor to familiarise them with your mentoring needs.

EOI Applications close 31st March, 2019

Personal details & contact

Name*

Address*

City
State
Postcode
Phone (mobile)*
Phone (other)

Email*

Membership Number

Membership Application ID (Eg: APP1234 - If member application is in progress)

What program are you applying to join? *
WAQLDNSWVICSADISTANCE

Note if you are based in a regional centre such as Townsville, Kalgoorlie, Bendigo or Orange you should apply for your state based program.

Would you consider joining the Distance Program if a better pairing (experience/industry sector) could be found?*
YesNo

Gender*
FemaleMalePrefer not to disclose

What is your preference if any, a male or female mentor?*
Female mentorMale mentorNo preference

Which of the following best describes your current situation?*
Early career (0-5 years)MSc / PhD studentBSc / Hons Student

Please give details of your two most recent positions of employment and/or voluntary experience (including current positions) if applicable. Any positions related to geoscience should be listed.

Position 1

Employer
Dates of employment

Description of role

Position 2

Employer
Dates of employment

Description of role

Please list your academic qualifications (if studying, please provide expected completion date):

Course 1

Course Name*

University* Completion date*

Course 2

Course Name*

University Completion date

What is your primary area of interest? *

Do you have secondary areas of interest? *

What are your current thoughts/plans regarding your career in the next five years?*

What specific experience/areas of interest would you like your mentor to have? *

What do you hope to gain from participating in the mentoring program?*

Have you been a mentee before in the AIG Mentoring Program?
YesNo