Kāpiti Governance Mentoring Programme 2022

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Kāpiti Governance Mentoring Programme 2022 - Mentee Sign Up

Complete this form to apply to be a mentee with the Kāpiti Governance Mentoring Programme for 2022.

Applicants must be members of a community governing board/committee, be based in the Kāpiti region, be able to commit to an orientation session in April 2022 and six mentoring sessions between March - October 2022.

This is Community Governance NZ initiative, delivered by Volunteer Kāpiti, in partnership with The Mentoring Foundation of NZ.

My email address is: *

My name is: *

My phone number is: *

My governance role is with: *

I am: *

Female

Male

Gender diverse

Prefer not to say

Other:

My age is:

under 20

20-29

30-39

40-49

50-59

60-69

70+

Rather not say

Clear selection

My ethnicity is: *

African

Asian (other)

Australian

British

Central American

Chinese

European

Indian

Japanese

Korean

Māori

Middle Eastern

New Zealander

North American

NZ European

Pacific Isles

Pakistani

Russian

South African

South American

Sri Lankan

Prefer not to say

Other:

Required

My labour status is:

Full-time employed

Part-time employed

Not in paid employment by choice

Seeking employment

Retired

Student

Self-employed

Other:

Clear selection

My location is: *

Paraparaumu

Ōtaki

Waikanae

Paekakariki

Raumati

Other:

My governance experience (this can include professional or volunteer experience) *

This is my first or second year in a governance role

2 - 5 years

6-10 years

11-15 years

16-20 years

21-30 years

More than 30 years

Other:

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