Mentor Registration Form

Career Mentor Scheme - MENTOR Registration Form

Thank you for registering to mentor a QUT student. Please complete this form with as much detail as possible. This will assist us to find the best possible match for you. We endeavour to match all mentors, however, this is not always possible and will depend on your discipline area and student demand each year.

Personal Details

If you have a LinkedIn profile, please cut and paste the URL below to help us stay up-to-date with you.
Just in case you change jobs and we 'lose' you!

Mailing Address

Please specify the best address we can use to contact you by post.
This will help us to ensure that the student you are matched with is able to travel to your place of work if required. Please tell us the suburb that you usually work in.

Mentoring Details

The Career Mentor Scheme is divided into industry categories. It is possible to mentor in more than one category. Please select the industry/discipline area/s you would like to mentor in, as appropriate to your experience and expertise, then select the appropriate sub categories (these relate to QUT's areas of study).
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Select the most appropriate sub categories
Eg. QUT Learning Potential Fund, Boeing, Department of Human Services, Cisco, CARRSQ, Stanwell, Brisbane City Council.
Mentors and Students are paired based on similar professional interest areas. Please complete this field with as much detail as possible about your professional experience, expertise and areas of interest. The more information you provide, the better we can match you!
Let us know if you have studied at QUT at any time.

Referee

Please enter the name of a referee that we may contact.

Recommend a Mentor

If possible, please supply a name, email address, phone number, and field of expertise.

Final Questions

Terms