LGPro Mentoring Program - EOI

Expression of Interest

Please submit a form below if you are wanting to be contacted once the next series dates are released.

Question Title

* 1. I am interested in the program:

as a Mentee

as a Mentor

Both

Question Title

* 2. Please provide your contact details below

Name

Council

Role

Email Address

Question Title

* 3. If you are interested in becoming a Mentor, do you have a current LGPro Membership (Fellow, Professional, Young Professional)?

Yes

No