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Canterbury Safety Charter Mentor Program
Mentor Registration form
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Name:
Your answer
Email address
Your answer
Organisation
Your answer
Role
Your answer
What areas are you confident of offering mentoring in?
Professional Development
Personal Development
Leadership
Compliance Issues
Business advice/support
goal setting/training
motivation/Inspiration
Professional relationships
Wellbeing
Other:
Are you comfortable doing the mentoring sessions via skype/zoom/other platform?
yes
No
Do you have a gender preference for your mentee
Female
Male
either is OK
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