Empower Mentee Application
Empower is a youth-led mentoring and support initiative to try address the underrepresentation of refugees and other marginalised youth in higher education in New Zealand.

Empower aims to provide a mentor who is currently studying a degree that you are interested in or a graduate who has completed a degree you wish to apply for. University level mentors can provide advice about entry requirements, what it is like to study at a particular University, and other helpful tips for transitioning from High School to University. Graduate mentors can provide advice on career options for a specific degree, and other helpful advice.

The information provided in this form is to assess your suitability for the role of Mentee within Empower. In accordance with the Privacy Act 1993, the information you provide will be used for management and administration of the application process.
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Email *
Full Name *
Date of Birth *
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Gender *
What is your ethnicity?
Main contact number *
Home Address *
In what region of Auckland are you able to meet your mentor? *
Would you prefer to meet with your mentor online? *
Are you a New Zealand Citizen/Permanent Resident? *
Languages spoken *
Do you have any health problems or dietary requirements? *
Do you have a disability? If so, please provide details on what support you require.
Emergency contact name *
Emergency contact number *
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