Mentee Expression of Interest

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This form allows you to express your interest in the Uplifted Mentoring program offered by our different branches. Each branch runs their programs at different times so please enter your information now and you will be contacted next time a program is run in your area.

IMPORTANT: Upon being accepted in the program, there will be an associated cost of AUD 50 for mentees that are also IIBA® members and AUD 300 for Non IIBA® members. This includes a professional coaching session as well as your mentoring sessions/support. You will be invoiced once you are accepted into the program.

If you are interested in being a mentor, please complete the mentor form, which can be found here:

https://forms.gle/wz2rkvuD2gKws52d8

Email *

First Name *

Last Name *

Mobile *

LinkedIn Profile

Are you a current member of the Australian Chapter?

If not, you can register here: https://australia.iiba.org/membership

Yes

IIBA Membership Number

Please provide your state/territory
*

Enter your city (e.g., Hobart)
*

Certifications

AAC

CBAP

CBDA

CCBA

CCA

CPOA

ECBA

None

Other:

Years of Business Analysis Experience *

Less than a year

1 - 3 years

4 - 6 years

7 - 10 years

11 - 15 years

15+ years

Other:

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