Mentoring Apply Now - Choose Maths

Thank you for expressing interest in becoming a CHOOSEMATHS Mentor! To apply, please complete the below application form and click ‘Submit’ when you are finished.

Before you apply, please read our information booklet about mentoring and our document providing information about Working With Children checks.

Mentoring Information

Working with Children Check

If you are having problems completing this form online, please email Julia.Collins@amsi.org.au to receive a PDF version of the form.

Mentoring Application Form

Personal Details
Name*
First Last
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth
We need this for the Working with Children Check
Gender*
Employment Details
Organisation*
Position / Role in Organisation*
Application
Tell us why you would like to be a mentor and what you think you can bring to the program*
Describe your mathematical background and the current job or degree you are doing:*
Do you have any previous experience with mentoring?
Briefly explain an aspect of mathematics which you are currently studying or using in your work:*
Referee 1
Please provide the names and contact details of two referees who can vouch for your suitability as a mentor
Name
First Last
Organisation
Relationship to you
Phone Number
Email
Referee 2
Name
First Last
Organisation
Relationship to you
Phone Number
Email
Confirmation
Please check this box to confirm that you agree to have a Working With Children Check in your state or territory, and will notify the CHOOSEMATHS mentoring coordinator within 7 days in the event of any change to the status of your Working With Children Check while you are a mentor.
- I agree

Mentoring Application Form

Personal Details

Employment Details

Application

Referee 1

Referee 2

Confirmation