Application for Mentoring
First Name*
Last Name*
Email*
Phone*
State/Territory*
NSW
VIC
QLD
ACT
TAS
SA
NT
WA
Postcode*
I confirm that I identify as a woman (including trans, cis and non-binary)*
Yes
Acceptance of terms (safe space)*
Yes
Acceptance of terms (code of conduct)*
Yes
Acceptance of terms (privacy - sharing info with 3rd party)*
Yes
Accessibility requirements (if any)
Underrepresented communities*
LGBTQIA+/non-binary
First Nations
Disability
Young women (18-28)
Culturally and/or racially diverse
Regional, rural, remote
None of the above
I'd rather not say
Electoral Experience*
Run for public office
Volunteered for a political campaign
Volunteered on an issues-based campaign
None of the above
Do you intend to run in the next election?*
Yes
Not sure
No
Which level(s) of government are you most interested in?*
Federal
State
Council
Other
Unsure
If you selected "other", please specify other level(s) of government
Which political party do you most align with?*
Australian Labor Party
Liberal Party of Australia
The Nationals
The Greens
As an Independent
A minor party
Not sure
How confident would you feel to run for a political office? (1=not at all confident, 7=very confident)*
1
2
3
4
5
6
7
What program(s) have you previously completed?*
WFE Equip (in person or online)
WFE First Nations workshop
University-led program
Party-led program
Community Leadership Program
Council training Program
Other
If you selected "other", please specify other program(s) completed
What is your local government area/electorate?*
Are you based in a metro or regional area?*
Metro
Regional
Are you planning to*
nominate as an election candidate
support someone who runs by working on their campaign
not sure
Please outline any experience you may have and what level of government*
Please briefly outline why you want to stand for public office?*
Please describe any previous involvement in formal or informal mentoring relationships you have been a part of*
Is there anything else you would like to tell us about yourself?
Submit