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Mentor Leaders Program Expression of Interest

Thank you for your interest in the In2science Mentor Leaders Program. This program wouldn't be possible without you, as a valuable STEM Professional, providing insight and guidance to the next generation of STEM professionals. For further information, please email In2science Program Manager Nicky at n.butler@latrobe.edu.au.

(e.g. Mr, Ms, Mrs, Dr)
(e.g. they/them, she/her, he/him)
(e.g. example@example.com)
Please upload a photo of yourself
Attach file
Drop files here
(e.g. La Trobe University)
I identify as:
We use this information, where possible, to arrange a meaningful, relevant placement. This information will not be shared with any third parties without your express permission. Select all that apply.
  • Aboriginal and/or Torres Strait Islander
  • LGBTQIA+
  • Neurodivergent
  • Living with a disability
  • First in family to attend university
  • Regional/rural background
  • I would prefer not to say
  • None of these are relevant to me
Tell us a bit about yourself!
You may wish to include information about your personal hobbies, passions, cultural background, etc.
  • {name}
Tell us about your career path.
Previous jobs, titles, roles, etc.
  • {name}
Please list your qualifications or degrees.
e.g. Bachelor of Science, Certificate II in Business
  • {name}
Please describe in 1-2 sentences what you feel you have to offer to mentees.
You may wish to talk about your strengths or personal achievements.
  • {name}
Which of the following disciplines would you be comfortable mentoring in?
  • Science
  • Technology
  • Engineering
  • Maths
  • Other
Please select the areas you would be happy to provide mentorship in:
  • Career planning & development
  • Work-life balance
  • Networking
  • Project management
  • Research
  • CV writing
  • Interview preparation
  • Other
Do you prefer your mentor meetings to be:
  • Face-to-face
  • Email
  • Phone call
  • MS Teams
  • Zoom
  • Skype
  • Other
Are there specific resources you would find useful to support you as a mentor?
  • {name}
Please leave any comments, feedback or questions.
  • {name}

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