/ Mentor Registration Form
YIPAA Peer Plus Mentoring Program 2009 /

Mentor Registration Form

Peer Plus Mentoring Program 2009

‘Take time to deliberate; but when the time for

action arrives, stop thinking and go in.’

(~Andrew Jackson)

OVERVIEW

IPAA launched the inaugural YIPAA Peer Plus Mentoring Program in 2008. We invite you now to register your interest in becoming a mentor in 2009.

The aim of the Peer Plus Program is to provide anopportunity for young public sector professionals to gain an additional layer of career and professional development support, while building a pool of experienced mentors who will themselves form part of an emerging leadership group. As such, IPAA will provide development opportunities for mentors aspiring to future management roles. Mentors will be paired with between one and three mentees and are expected to make contact at least once a month. We are seeking to recruit between 20 and 30 mentors, to support up to 60 mentee places available in the 2009 program.

The objectives of the Program are to provide mentee participants with opportunities to:

  • Develop relationships with more senior colleagues to explore career and professional pathways in a supportive, informal environment.
  • Develop personal skills and self-confidence.
  • Gain a broader understanding of the public sector and the role of IPAA and YIPAA.

The objectives of the Program are to provide mentor participants with opportunities to:

  • Develop an improved understanding of the experience of public sector professionals in their foundation years.
  • Engage with younger colleagues outside formal work relationships.
  • Gain experience and develop leadership skills to assist career development.

PROCESS AND COMMITMENT

To participate as a mentor in the mentoring program, you will need to complete a registration form and be available as follows:

Activity / Date / Time Commitment
Complete and submit registration form / 23 January 2009 / 20-30 minutes
Attend a mentor and partnership education activity / 13March 2009 / Half day
Meet/communicate with your mentee(s) on a monthly basis / March 2009 – December 2009 / Commitment will vary. Minimum one meeting per month
Participate in program evaluations and support focus groups / April 2009 – December 2009 / 3-4 hours across the program (max)
Peer Plus Mentor Seminars as available / May 2009 – December 2009 / Optional

IPAA will support mentors by providing

  • tools to help you plan your partnership
  • additional online education tutorials
  • opportunities to share and learn from your peer mentor participants
  • invitation to IPAA events as appropriate

FURTHER INFORMATION

Further information is available from Mona Ray-Greig, YIPAA Coordinator, Australian Mentor Centre (AMC) is providing mentoring project services in support of this program.

Instructions

Please complete this Mentor Registration Form and send to the Institute of Public Administrationno later than Friday 23 January 2009. Please return by fax (03) 9639 9663 to, ORpost to, Level 3, 37 Little Bourke St, Melbourne VIC 3000,OR email to .

MENTOR CONTACT DETAILS. Please complete your details below.

Name
Title
Department/Agency
Division
Primary Responsibilities/areas of work
Contact Email
Contact Phone
Postal Address
Age (for internal records only)
Gender

PROFESSIONAL COMPETENCIES. Please prioritise the top five (1-5) areas in which you can provide mentee support.

Areas of Mentoring Support
Effective Communication
Teamwork
Problem Solving
Self Management
Time Management
Technology
Continuous Learning
Initiative and Enterprise / Work/life Balance
Stress Management
Emotional Intelligence
Networking
Diversity
Influencing Others
Career Path Options
Industry Knowledge
Other: please describeany other areas where you feel you can support a mentee...

EXPERIENCE PROFILE. Please answer each question in the space provided …

  1. Please provide a snapshot of your career history to date…

  1. What career and/or professional challenge(s) did you experience and overcome when you were new to the Public Sector? Please give 1-2 examples.

  1. What are your personal interests? (e.g.sports, hobbies)

  1. Quirky Facts (tell us something about the ‘real’ you).

MENTORING REVIEW. Please answer each question in the space provided …

  1. Why do you want to be a mentor? Participate in the Program?

  1. What attributes can you bring to the role of a mentor?

  1. What do you expect from a mentoring relationship? A mentee?

  1. What previous experience have you had in a mentoring relationship (either formal or informal)?

  1. How did you find out about the YIPAA Peer Plus Mentoring Program?

ACKNOWLEDGEMENT. (Please tick to confirm)

I have read the information attached to this registration form and understand the requirements of participation.

I understand my participation in the Mentoring Program is voluntary.

I have advised my employer of my participation.

I acknowledge that both 1:1 and small group mentoring models may be used in the program.

I understand that I may be using a range of communication methods to manage my mentoring relationships including face-to-face contact, email and telephone.

I understand my Mentee/s will not be in my immediate line of management.

I understand that my relationship with my Mentee is different to the relationship I have with my direct reports, and activities such as performance appraisal will not form part of my mentoring relationship.

I understand that I will undergo education activities to assist me in developing a successful mentoring relationship.

I acknowledge that I will be required to participate in a mid-partnership and end-partnership evaluation activity as part of the Mentoring Program.

If, for whatever reason, you do not wish to continue the program, both mentors and mentees are free to discontinue at any time

I acknowledge the importance of maintaining confidentiality of matters discussed with my Mentee.

PREFERENCE. Please tell us your preference:

If possible, I would prefer to be involved in the following type of mentoring relationship:

1:1 mentoring relationship

Small group mentoring relationship

(Please note that all efforts will be made to meet your preference; however pending the needs of mentees, your preference may not be met in the Pilot.)

Please share with us any other details that you feel may assist us in matching you with a Mentee.

Signature:
Name:
Date:

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