Apply to be a Mentee

This application is designed to outline your goals and expectations as a Mentee. Please type your answers directly into the box provided and take the time to give us as much relevant information as you can. The information you provide is confidential and is intended to assist with the mentor/mentee matching process.
Please note that all mentees participating in the program must attend the three compulsory workshops and set aside one hour per week to meet with their mentor.
Section 1
First name: *
Surname: *
Company Name: *
Office Location: *
Postcode: *
Position: *
Phone: *
Email: *
Age Range:
Under 25   25 - 35   35 - 45   Over 45  
Industry Experience:
Section 2
Please share with us your reasons for applying to participate as a mentee in this program
What specific areas of your professional development plans would you like a mentor to assist you with? Elaborate on these reasons if possible.
List key personal and professional activities you have undertaken in the past.
You can include personal interests and activities, professional milestones, qualifications,
professional development programs, social and voluntary activities, or others which you
feel are relevant to your application.
Are you presently undertaking any studies or courses to improve your professional development?
Section 3
Have you previously taken part in a mentoring program either formal or informal? Yes  No
Please comment on your experience: What you got out of it and how it may have helped you?
Any other comments:
Section 4

Please add your supervisor/employers name and email address. Upon submission of this form, a brief approval form will be emailed to them for completion.
Supervisor/Employer Name: *
Supervisor/employer Email: *
Section 5
Please read the mentoring code of practice and sign the declaration.

Mentoring Code of Practice

The mentor’s role is to respond to the mentee’s needs and agenda; not to impose their own agenda on the process.

Mentors and mentees should respect the confidential nature, including business and personal information, of what is discussed as part of the mentoring relationship.

Mentors and mentees should respect each other’s time and other responsibilities and commitments, ensuring they do not impose beyond what is reasonable.

The mentee must accept increasing responsibility for managing the relationship. The mentor should empower them to do so and must generally promote the learner’s autonomy.

Either party may dissolve the relationship. Notice to do so must be made in writing to the NIBA Mentoring Committee. However, both the mentor and mentee have the responsibility to discuss the matter together as part of their mutual learning. They need to realise that this action should be a last step as they have made a commitment to complete the program in good faith.

Mentors need to be aware of the limits of their own competence in the practice of mentoring.

The mentor will not intrude on areas the mentee wishes to keep private until invited to do so. However, they should help the mentee to recognise how other issues may relate to these areas.

Mentors and mentees should aim to be open and truthful with each other and themselves about the relationship itself.

Mentors and mentees share the responsibility for the smooth winding down of the relationship when it has achieved its purpose – they must avoid creating dependency.

The mentoring relationship must not be exploitive in any way, neither may it be open to misinterpretation.

Mentors and mentees must abide by the commitment that the mentoring program is not to be used as an employment/recruitment possibility.

Mentors and mentees agree to attend all structured training sessions in the program.

I have read and agree to abide by all the conditions of the Mentoring Code of Practice? Yes  No
* Indicates a mandatory field.