Australia Awards Mentorship Registration Form
Please fill in the form below to register yourself as a mentor or mentee
Full Name
*
Prefix
First Name
Last Name
Are you interested in being a mentor or a mentee?
Please Select
Mentor
Mentee
Please indicate your Alumni Association below
Why do you wish to be a mentor/mentee?
*
Breifly explain why you believe this program is beneficial to you.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Alternative Phone Number
*
-
Country Code
-
Area Code
Phone Number
E-mail
*
Alternative E-mail
*
Sector of Work
*
Employer
*
Position
*
Institution of Scholarship Study
*
Course
*
What sort of mentoring will you require?
*
Professional
Academic
Social
All of the above
Other
Academic mentoring refers to mentoring aimed at improving your capacity and potential in your academic field, usually inclusive of tips on effective study tools and methodologies as well as best approaches to handling assignments. Professional mentoring implies career based mentoring directed at improving one's implementation of post-award WPR objectives. Social mentoring looks to improve individual networking skills, from basic social skills to effective communication tools.
What sort of mentorship are you able to offer?
*
Professional
Academic
Social
All of the above
Other
Academic mentoring refers to mentoring aimed at improving your capacity and potential in your academic field, usually inclusive of tips on effective study tools and methodologies as well as best approaches to handling assignments. Professional mentoring implies career based mentoring directed at improving one's implementation of post-award WPR objectives. Social mentoring looks to improve individual networking skills, from basic social skills to effective communication tools.
Based on the Mentoring need you have selected, kindly provide key areas you wish to highlight as priority areas for mentoring.
*
Based on the Mentorship area you have selected, kindly provide key strengths or focal areas you wish to highlight to potential mentees.
*
Mentorship process takes a recommended period of 12 months. Is there anything that you envision might prevent you from being able to make such a commitment?
Please Select
Yes
No
Unsure
Suggestions you would like to be included in the Mentoring process?
Please include your expectations of the mentoring type you selected, any type of bias you may have towards your mentor/mentee, and any other thoughts or concerns you wish to be considered prior to being linked.
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