Register to become a mentor

Thank you for your interest in becoming a mentor.

Please note

Applications close: 5pm on Friday 7 March 2025

If your application is successful, you will be asked to complete a questionnaire to support the matching process.

Application form

First name

Last name

Pronouns

Email

Faculty/School/Department

Position title

Classification level

This is for matching purposes only and will not be disclosed.

How long have you worked at the University of Adelaide?

Have you been a mentor before?

Yes for the WPDN

No

Yes, other

If yes, what did you value about this experience?

Have you been a mentee/received mentorship before?

Yes for the WPDN

No

Yes, other

If yes, what did you value about this experience?

Why would you like to be a mentor?

What capabilities and attributes would you bring to the role of a mentor?

What would you like to achieve through your participation in the Program?