Taranaki Community Leadership Mentoring Programme 2023

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Kia ora and welcome. Please complete the details below to register as a mentee with the Mentoring Foundation for the Taranaki Community Leadership Mentoring Programme.

Applicants must be based or operate within Taranaki and able to commit to an orientation session in March 2023 and six mentoring sessions between April - October 2023

My name is: *

I am: *

Female

Male

Gender diverse

Prefer not to say

Other:

My ethnicity is: (please select all that apply) *

Māori

NZ European/Pākehā

Pasifika

Asian

European

African

Middle Eastern

Prefer not to say

Other:

Required

My role is.. *

in governance, i.e. the board/committee.

operational i.e. management reporting to the governance team.

Project management i.e. I am leading a project or scheme of work with my organisation.

Other:

Required

My role title is: *

The organisation I am representing is: *

My email address is: *

I can be contacted via the following phone number/s: *

You can find me on LinkedIn at:

Organisation website is:

My location is: *

New Plymouth Central/Bell Block

Waitara/Urenui

Oakura/Okato/Warea

Inglewood/Egmont Village/Lepperton

Stratford District

Eltham/Kaponga

Normanby/Hawera

Patea/Waverley/Waitotara

Manaia/Opunake

Other:

My professional experience *

I've been working for less than 5 years

I've been working for 6-10 years

I've been working for 11-15 years

I've been working for 16-20 years

I've been working for 21-30 years

I've been working for more than 30 years

Other:

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