Become a Mentor

SCU Mentor Connect Program - Industry Mentor Application Form.

Please complete this form to be considered as an Alumni/Industry Mentor.

To be considered as a Mentor Connect Mentor, please complete this form and be able to meet with your Mentee (phone, Zoom, in-person) at least 3 times during the Program. Dates: https://www.scu.edu.au/current-students/services-and-support/careers/bright-futures-mentoring-program/. Requested information is used to facilitate a good match between you and a Southern Cross University student mentee. If you have any difficulty completing this form, please email careers@scu.edu.au

First Name *

Last Name *

Preferred email: (required) *

No Email

Telephone Contact: (required)
Preferred contact number *

Current Industry (required) *

If other, please specify:

Past Industry (if applicable)

If other, please specify:

Position Title: (required)

Current employer: (required)

Education (course, year completed and institution) - please list most recent to oldest (required)

SCU Student ID (if known/applicable)

Gender (required)

Current location eg. Gold Coast, Sydney: (required)

Please tell us how many times you have mentored in the Mentor Connect program. (required) *

If other, please specify:

Your LinkedIn URL:

Please provide a compelling career bio (Approx. 200 words) on your career history, achievements and why you would like to be a mentor. (required) *

Hobbies/Interests (required)

Are you willing to Mentor two (2) students? (required) *

By checking yes, you will not necessarily be allocated 2 students.

Are you willing to undertake one-off student informational interviews during 2025? (required)

This means a student may contact you directly. By checking yes, you will not necessarily be allocated informational interview/s (additional to mentoring).

In applying to become an Alumni/Industry Mentor I agree to have:

1. The above information recorded and used by staff administering the Bright Futures Mentor Program.
2. My name, position title, company, location, LinkedIn URL, photo, hobbies/interests, and my 200-word Career History information displayed on a student intranet for access by prospective mentees.
3. My name, nominated email address, and mobile phone number released to my allocated mentee/s. *

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Mentor Consent

I agree to the Mentoring Agreement *

I agree to the Privacy Policy *

I agree to the Code of Conduct *