The AWA Young Water Professionals (Vic)
2016 Mentor Program
AWA YWP (Vic) Mentoring Breakfast
Thursday, 3 March 2015
Mentoring Pairing Questions
Important
Please answer all questions below. Your answers will used to pair you with a suitable mentee or mentor.
To participate in the program, you need to attend the Mentor Breakfast on Thursday, 3 March 2015 to be inducted into the program and meet your mentor/mentee.
Please email your completed form as quickly as possible. It will not be possible to secure you a good match after
Monday, 15February 2016. Send to AWA State Manager – Victoria via .
Name: / AWA Member No.Email: / Mobile:
Are you applying to be a mentor or mentee?
Who is your current employer? What type of business is your employer?
How many years have you been in the water industry?
What is your current role?
In which suburb/area do you work?
Which qualifications do you hold?
Have you been in a mentoring relationship before, either formally or informally? / YES or NO
Would you prefer that your mentor/mentee work in the same area of the water industry with you? / YES, NO, no preference
Would you prefer to a mentor/mentee in the same location to where you work? / YES, NO, no preference
Which area of the water industry do you currently work in or have previously worked in?
(You can select multiple choices, delete those that do not apply) / Research
Policy
Government
Law
Education
Consulting
Construction
Community Initiative
University
Water Utility
Other (please specify
MENTEES
Please rank each area on the adjacent list from 1-5 where:
1 - Is key area that you would like assistance with; &
5 - is not interested
MENTORS
Please rank each area on the adjacent list from 1 to 5 where:
1 - is experienced, qualified or trained
3 - is limited knowledge & skills in this area
5 - is no competence / Career path and career goal setting -
Delegation -
Achieving a healthy work-life balance -
Learning & development opportunity identification -
Stress and time management -
Negotiation skills -
Communication and networking -
Leadership and management skills -
Job search issues -
Teamwork -
Specific Technical Skills (please specify)
Other (please specify)
How often do you envisage that you will be in contact with your mentor/mentee?
This will be further discussed and agreed to at the Mentoring Breakfast / Weekly
Monthly
Quarterly
Other (please specify)
What is your preferred method of contact with mentor/mentee?
We recommend a mix of contacts. This will be further discussed and agreed to at the Mentoring Breakfast / Phone
Face-to-Face
Other (please specify)
Do you foresee any major changes taking place in your career in the next 12 months?
Please provide any other information that may assist us to match you with a mentor/mentee. / Please type your response here:
Please spend a moment and describe your ideal mentor (for mentees only) / Please type your response here:
What is your gender?
Do you have a preferred gender for your mentor/mentee? / Male
Female
No preference
At the completion of the program (in 12months) what do you hope to achieve / Please type your response here:
Please provide a short biography. You may include whatever information you like. Suggestions include: educational background, professional experience, AWA involvement, hobbies and interests, etc.