Edith Cowan University Complete and return this form to register your interest in becoming a mentor in ECUs Peer

Mentoring
Program. SSC CAREERS AND LEADERSHIP SERVICES Student Number Family Name Gi en Name Course "itle #C$ #mail %ddress &'i(' )ind o! mentor *ould you li)e to be+ &'at is your gender+ &'at is your age range+ &'at )ind o! mentees *ould you pre!er to be mat('ed *it'+ &'at are your interests outside o! #C$+ 10219073 Cook Robert Mechanical Engineering Rcook6 our.ecu.edu.au Pre!erred name Rob Campus Joondalup

Peer Mentor Registration Form

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2ot fussed at all3 more than happy to help 4here5er % can. % am a 5ery keen sportsman3 playing high le5els of rugby o5er the past fe4 years. % am no4 hea5ily in5ol5ed 4ith Cross(it and 4ill be competing in the open ne't month. % also lo5e music and often attend festi5als 4hen % ha5e time off 4ork. % also en6oy tra5elling3 4hether its a road trip or long hauls. % 4ill be embarking on an island hop tour in $hailand ne't month.

&'y do you t'in) you *ill ma)e a good mentor+

% belie5e % 4ill make a good mentor because % thoroughly en6oy sociali7ing and friendly interaction3 especially if includes aiding a fello4 student. % ha5e also li5ed in 0 countries including 8ustralia and as a result ha5e e'perienced an array of different cultures and backgrounds3 thus educating me on the di5ersity of the 4orld. % am currently in my final year and 4ould greatly relish this opportunity to not only further my C9 but to also pass on important and rele5ant first hand e'perience to ne4 upcoming engineering students.

,o* did you 'ear about t'e Peer Mentoring Program+ (please tick)

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ECU :ebsite ;tudent Portal 2e4s (eed %n class (ello4 students

o Uni5ersity staff member o 8n e5ent o !ther "please state#<

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- (onsent to parti(ipating in #C$.s Peer Mentoring Program (please tick) Signature Robert Cook 2ate

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Print3 sign and submit !orm to Careers and 4eaders'ip Ser i(es as belo*
"elep'one 8oondalup Mt 4a*ley "+A# 60+- .A// "+A# 60+- .A// 5uilding6 Room Building @A3 Room @+63 Cesk @A Building 03 Room @D@ Postal %ddress *D+ Joondalup Cri5e Joondalup :8 6+*D * Bradford ;treet Mount >a4ley :8 6+.+ #7mail careers careers ecu.edu.au ecu.edu.au

Edith Cowan University

SSC CAREERS AND LEADERSHIP SERVICES