UOW Outreach Mentor application form

1. Personal details
Name Name First Middle Last
Date of birth Date of birth / DD / MM YYYY
Gender

Gender Female Male Prefer not to say Other
Please specify gender
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Same as postage address?

Same as postage address? Yes No
Postal address (if different from above) Postal address (if different from above)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone (mobile)
UOW email address / or other if not currently enrolled
Personal email address (All initial recruitment correspondence will go to your UOW email address)*
*The UOW Outreach Team place importance on a diverse workforce and value prospective mentors' unique backgrounds; please provide details below to the following questions:
I identify as an Aboriginal and/or Torres Strait Islander

I identify as an Aboriginal and/or Torres Strait Islander Yes - Aboriginal Yes - Torres Strait Islander Yes - Aboriginal and Torres Strait Islander Prefer not to answer No
Are you the first in your immediate family to attend university?

Are you the first in your immediate family to attend university? Yes No Prefer not to answer
Did you enter university study via a VET pathway?

Did you enter university study via a VET pathway? Yes No Prefer not to answer
Are you an Australian citizen?

Are you an Australian citizen? Yes No
Are you from a refugee background?

Are you from a refugee background? Yes No
Please upload a copy of your birth certificate, driver's licence or Australian passport

Attach Files
If you have refugee status, are a permanent resident or on a humanitarian VISA, please upload a copy of your passport (first page only) OR a copy of your VISA Grant Notice

Attach Files
2. UOW profile
Are you currently enrolled at UOW?

Are you currently enrolled at UOW? Yes No
UOW student number
UOW campus attending
Degree enrolled in
Undergraduate or Postgraduate?
Faculty
Year and session of graduation (expected)
3. Secondary education
High School you attended

PLEASE NOTE: for the purpose of assisting current students to navigate the In2Uni process, you must have completed 11 and 12 at an Australian High School, or an equivalent Australian educational qualification (e.g Certificate IV or Diploma).
Did you participate in Year 12 Future Me (FMP) and/or Year 12 Summer Master Class (SMC) Programs during high school?

Did you participate in Year 12 Future Me (FMP) and/or Year 12 Summer Master Class (SMC) Programs during high school? Yes - FMP Yes - SMC Yes - both FMP and SMC No
4. Experience
I have previous coaching, tutoring and/or mentoring experience

I have previous coaching, tutoring and/or mentoring experience Yes No
Please outline your previous coaching, tutoring or mentoring roles’
Maximum of 200 words allowed. Currently Entered: 0 words.
5. Availability
UOW campuses you wish to work at

UOW campuses you wish to work at UOW Eurobodalla campus UOW Bega Valley campus UOW Shoalhaven campus UOW Liverpool campus UOW Southern Highlands campus Wollongong campus
I can make a weekly commitment to In2Uni programs from March – September 2023

I can make a weekly commitment to In2Uni programs from March – September 2023 Yes No
I am able to manage my own transport to/from schools and other campuses for shifts

I am able to manage my own transport to/from schools and other campuses for shifts Yes No
I am able to attend a group interview for a Wollongong Campus role on Wednesday, 2 November 2022 at a flexible time.

*(For other UOW campus Outreach Mentor roles, this interview date will vary and will be advised upon application.) This will be held in-person pending COVID-19 impacts.

I am able to attend a group interview for a Wollongong Campus role on Wednesday, 2 November 2022 at a flexible time.

*(For other UOW campus Outreach Mentor roles, this interview date will vary and will be advised upon application.) This will be held in-person pending COVID-19 impacts. Yes No I'm not applying for a Wollongong campus role.
Attendance at the training days is compulsory in order to be a UOW Outreach Mentor. These two days will be held on campus, and you will be paid.

I am able to attend the scheduled training days on the 15 and 16 February, 2023 for Wollongong In2Uni Mentor roles (Regional & Metro campus dates will vary potentially). *

Attendance at the training days is compulsory in order to be a UOW Outreach Mentor. These two days will be held on campus, and you will be paid.

I am able to attend the scheduled training days on the 15 and 16 February, 2023 for Wollongong In2Uni Mentor roles (Regional & Metro campus dates will vary potentially). * Yes No
6. Selection criteria questions (200 words max response per question)
What do you think the role of a UOW Outreach Mentor involves?
Maximum of 200 words allowed. Currently Entered: 0 words.
Well-developed interpersonal and verbal communication skills are crucial when presenting to student audiences & a demonstrated ability to organise and manage student groups is vital, explain your experience and skills in these areas:
Maximum of 200 words allowed. Currently Entered: 0 words.
Describe your approach to teamwork and collaboration
Maximum of 200 words allowed. Currently Entered: 0 words.
Explain which methods you would use when working with students from cross-cultural backgrounds, and who may vary in their academic learning needs, to create the best student experience possible in your programs.
Maximum of 200 words allowed. Currently Entered: 0 words.
Please outline your previous experience in coaching, leadership, tutoring or mentoring roles and describe how you would ensure all students gain a sense of connectedness & value from a small group mentoring session.
Maximum of 200 words allowed. Currently Entered: 0 words.
Have completed Years 11 and 12 at an Australian High School, or an equivalent Australian educational qualification e.g Certificate IV or Diploma, for the purpose of assisting current high school students to navigate this process

Have completed Years 11 and 12 at an Australian High School, or an equivalent Australian educational qualification e.g Certificate IV or Diploma, for the purpose of assisting current high school students to navigate this process Yes No
7. Attachments

Each attachment is limited to 3MB
Do you hold a current Working with Children Clearance?

Do you hold a current Working with Children Clearance? Yes No
Please upload your clearance letter

Attach Files
Please attach a copy of your resume

Attach Files
8. Terms and conditions
I have read the UOW Outreach Mentor position description (PDF) outlined on the In2Uni website, and understand what would be required of me in this role if I am successful

I have read the UOW Outreach Mentor position description (PDF) outlined on the In2Uni website, and understand what would be required of me in this role if I am successful Yes
Data collection statement

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UOW Outreach Mentor application form

UOW Outreach Mentor application form

1. Personal details

2. UOW profile

3. Secondary education

4. Experience

5. Availability

6. Selection criteria questions (200 words max response per question)

7. Attachments

8. Terms and conditions

Data collection statement