RAISE FOUNDATION: New Mentor Application Form 2022

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character
Your Details
If your Preferred First Name or Last Name is different to your legal name, please enter your full legal name in the Full Legal Name field. We require your full legal name to verify your police check and Working with Children Check.





DD/MM/YYYY






Contact Details
How should we contact you?

(all numbers no spaces)






Emergency Contact Details
Who should we contact in case there is an emergency?


(all numbers no spaces)

About You













Program Preferences
Please select 3 Programs where you would prefer to mentor. To view the location of our current Programs, click here.


Preference
Please note: days and times are subject to change.
Please start typing to search for the program name of your choice 











Mandatory Checks

If you don’t already have these Mandatory Checks, you'll be able to apply for them in the Raise Digital Village throughout your Mentor Journey.
If you already have a valid Working with Children Check or a Police Check that is less than 2 years old, please provide the details below:


DD/MM/YYYY

By submitting this form, I understand Raise may contact me in accordance with their Privacy Policy.
Please contact us on mentor@raise.org.au if you have any issues or queries when completing this form.
Thank you for applying to become a Raise youth mentor. Please click the CAPTCHA box below to enable the submit button. 

Save my progress and resume later | Resume a previously saved form