Mentor Sign-Up

Required Fields Denoted By * Please make sure you complete all required fields or your application will not be processed.

About Yourself

ANU Student Number u *
First Name *
Surname *
Gender *
Age Range
Nationality
Languages (other than English) spoken
Dietary Requirements (e.g.: vegetarian, vegan, halal)
Approximate arrival date in Canberra
Semester you wish to participate Semester *

Academic Program Details

Are you an undergraduate or postgraduate student? *
Enter your program of study (e.g.: Master of Accounting, Bachelor of Science) *
If Undergraduate are you completing a combined degree? YES
Major (s) *
If Undergraduate, what year of your degree are you currently studying? *
If Undergraduate, please select the faculty or faculties in which you are currently enrolled * / *
Exchange or Study Abroad?

Contact Details

Residence when not at ANU
Do you live in a Hall or college at ANU? YES
Please select the ANU Hall /Affiliated college *
Address *
Telephone
Work
Mobile
E-mail *
Contact details when not at ANU YES if different from above
Address *
Telephone
Work
Mobile
E-mail *

Referee Details

(All fields required)

Please give the name and contact details of 2 referees

First Referee

Title (e.g. Mr. Ms, Mrs. Dr,)
Name
Telephone
E-mail
Relationship to you

Second Referee

Title (e.g. Mr. Ms, Mrs. Dr,)
Name
Telephone
E-mail
Relationship to you

Application to SIGN

How would you describe your experiences at ANU? *

Why do you want to become a Mentor in SIGN? *

Name 3 of your qualities that would assist you in your role as a mentor (e.g.: able to communicate well with others) *

Interests / Hobbies

Compulsory Training

Please specifiy the training date you can attend. It is compulsory to attend ONE of these training dates. *

Is there anything else you would like us to take into account when matching you with new students or scheduling your training sessions?

In applying to be a Mentor in the Student Guidance & Information Network (SIGN), you are agreeing to allow your contact details to be given to your allocated group of new students. The information provided on this application will be used only for the facilitation of SIGN.

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