Working Together – Mentor Application

Thank you for your interest in becoming a mentor for our Working Together mentorship programs to support people aged 50+ looking to enter/re-enter the workforce.

To register your interest as a mentor, please complete the form below.

Once you have registered your interest, we will be in touch to discuss your application.

We are looking for people who are:

- Passionate about supporting people aged 50+ to get back into the workforce

- Willing to participate in approximately 8-10hrs of facilitated mentor training (online)

- Available 2-4hrs per month to support your mentee for a minimum of 6 months

- Able to meet in the North and Western suburbs of Melbourne (Including the Cities of Hume, Brimbank, Moreland, Moonee Valley and the Shire of Macedon Ranges)

Expression of Interest Form for Mentors

(Please complete and submit this form to express interest in becoming a Mentor under this program)

Personal Details

Personal Background

8. Please note: Carers are people who provide unpaid care and support to family members and friends who have a disability, mental illness, chronic condition, terminal illness, an alcohol or other drug issue or who are frail aged.

9. Please note: LGBTIQA+ stands for lesbian, gay, bisexual, transgender, gender diverse, intersex, queer, asexual and questioning

Work and Education

Program-Specific Questions

(e.g. Accessibility, AUSLAN, travel, transport, childcare, reading and writing, English language skills, or other)

Terms and Conditions

I understand that this is an Expression of Interest Form only and that COTA Victoria will be in touch with myself to determine my suitability to join a Working Together project. I agree that Council on the Ageing (COTA) Victoria) collects my personal information for the purpose of joining a Working Together project only and will store my information as per COTA Victoria's Privacy Statement.