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Further Enquiries:

Audrey Stratton
SmoothStart Coordinator
The University of Adelaide
SA 5005 AUSTRALIA
Email

Telephone: +61 8 8303 8192
Facsimile: +61 8 8303 5303

How to Apply

If you are interested in this great opportunity, and have not previously been a mentor, simply complete the online application form (below) SmoothStart and press submit, or you can download the form and return by mail or in person to:

Audrey Stratton
Transition Unit Office
Level 4, Hughes Plaza (opposite Security)
North Terrace Campus

or Wilto Yerlo

Alison Galbreath
Wilto Yerlo Administration Coordinator
Hartley Building G22
North Terrace Campus

The program coordinator will be in contact to arrange a meeting with you to discuss whether or not mentoring is for you.

Applications for 2010 close on September 25, 2009.

SmoothStart New Mentor Application Form

Please note * indicates compulsory fields.

Personal Information
*Family Name
*Given Name/s
Preferred Name
*Student ID#:
*Email address: (Regularly used)
Home Phone:
Mobile:
*Please specify best contact number:	Home Phone Mobile
Postal address:	Address: City/Suburb: State: Postcode:
Please indicate T-shirt size:	S M L XL
Academic Details
Your primary Faculty/ School:
Your Program:
Year:
Expected graduation date:
Academic Results:
Previous year Semester 2 Current year Semester 1
Number of courses undertaken:
Number of courses with pass or above:
Number of courses failed:
Number of courses incomplete/withdrawn:
Educational Highlights/ Awards:

Current employment/anticipated employment 2010:

Mentoring Details:
Have you been a mentee :	Yes No
If yes, Year/ Program Name:
Have you been a mentor :	Yes No
If yes, Year/ Program Name:
Do you plan to apply for or have you been accepted into any other University networking program?
If yes, Year/ Program Name:
Are you an Aboriginal or Torres Straight Islander?	Yes No
If yes, are you willing to mentor non-Aboriginal or Torres Straight Islander students?	Yes No
Why would you like to become a mentor/ continue to be a mentor?

APPLICATIONS FOR 2010 CLOSE SEPT 11 2009