Apply to mentor

(Note: not to be completed by returning applicants or mentors - please sign in)

Your first and last name

First name (preferred name)

Last name

How do we contact you?

Mobile number

Preferred email

Confirm email

Your location

Post code

Please complete all fields with an *

Your personal and legal information

Full legal name

(Must match your legal documentation for Working with Children Check and Police Check)

Date of birth

Gender

Which mentor type are you? Please choose one *

Blue circle icon with "I'm mentoring on my own (not part of my workplace or study)"

Blue circle icon with "I'm mentoring through my workplace"

Blue circle icon with "I'm a placement student (mentoring as placement student)"

Blue circle icon with "I'm a student (engaged in study, not looking for placement)

Choose your university/college

Choose your workplace

Please complete all fields with an *

Program preferences

Which state will you be mentoring in?

Program type

Choose up to 3 school programs of your choice

1st preference

2nd preference

3rd preference

How many programs would you like to mentor in?

Copy preference state

Preference 1 ID

Preference 2 ID

Preference 3 ID

Please complete all fields with an *

Tell us about yourself

What do you think are some of the challenges facing young people today?

Why would you like to mentor a young person?

Why do you think you'd be a good mentor?

Please complete all fields with an *

Mandatory checks

Do you already have a valid Working with Children Check and a Police Check that's less than 3 years old?

! You will need both checks which can be provided separately. If you don't already have these checks, you'll be able to apply for them in the Raise Digital Hub throughout your mentor journey.

Mandatory checks

Working with Children Check number

WWCC expiry date

Upload your Police Check

Police Check issue date

Please contact us at mentor@raise.org.au if you have any issues or queries when completing this form.

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NEW mentor application form