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Home | Mentoring Programs | Add a Program

Add a Program

( * denotes required fields )

Please complete all required sections before submitting the form. Once you hit the submit button you will be unable to change the details until the program is approved by the administrator. Programs that take into consideration the Benchmarks for Effective and Responsible Mentoring Programs will be listed on the site. Click here to view the benchmarks. The final decision to list a program rests with the Executive Officer who will contact the organisation if there are any discrepancies.

Account Details
* Username	Letters or Numbers only; spaces, hyphens or any other characters are not allowed
* Password	Minimum 8 characters; Letters and numbers only; requires atleast 2 numbers
Profile Administrator Contact Details
This person will be responsible for ensuring your program's details are regularly updated.
* Contact Person:	First Name	Last Name
Position:
Organisation:
* Email
Phone	(please include area code)
Contact Details
This person will be the contact for your organisation for which all volunteer mentors and enquires will be directed to.
If this is the same person as your profile administrator please tick this box
* Contact Person:	First Name	Last Name
Position:
Organisation:
* Email
Address:
	* Street Address	* Postal Address
Street Name / GPO:
Suburb:
Postcode:
State:	ACTNSWNTQLDSATASVICWA Select State	ACTNSWNTQLDSATASVICWA Select State
Phone:	(please include area code)
Other Phone Number:	(please include area code)
Fax:	(please include area code)
Preferred Method of Contact
*How you would like potential volunteers or people with enquiries to make contact with your organisation? (tick as many options as you like)
Email  Via the website  Phone  In person
Program Profile
*Program Name:
Web site:	(format : http://www.yahoo.com)
Upload Image:	(image size: max height - 200 pixels or max width - 200 pixels; image format: .jpg or .gif only)
* State:	Select State ACTNSWNTQLDSATASVICWA
* Region:	Select a Region
*Program Type:	E-Mentoring Group One to One Peer Team
*Program Location:	Workplace School Tertiary Institution Faith Based Juvenile Correction Community Virtual Community
Minimum Age of Mentee accepted in the program:
Maximum Age of Mentee accepted in the program:
Minimum Age of Mentor accepted in the program:
Maximum Age of Mentor accepted in the program:
* Do you provide training for mentors?	Yes No
* Please describe the training process for your Mentors:
* Do you provide mentor screening?		Yes No
* Please describe the Mentor screening process:
Do you have a privacy policy?	Yes No
Do you have a child protection policy?	Yes No
* Mentor Position Description: (please give a short description of the role the mentor will be undertaking)
* What is the minimum commitment required of the Mentor?:
Mission Statement (if any):
*Program Description: (as you would like it to appear on the website)
*Terms and Conditions: 1. It is the responsibility of the organisation completing this profile to ensure the details are correct and to ensure that the details are updated regularly and when prompted by the Youth Mentoring Network. Should your organisation not update the program profile within the required timeframe the YMN reserves the right to remove the program from the database. 2. By submitting this application the submitting organisation is agreeing that they fulfil the basic requirements of the National mentoring benchmarks as stated at the beginning of this application. Should the Youth Mentoring Network become aware that your organisation is not meeting the the basic benchmark requirements the Youth Mentoring Network reserves the right to remove the program from the database. 3. If your organisation does not meet the basic requirements please contact the Youth Mentoring Network and we would more than happy to assist your organisation in working towards achieving the basic requirements. 4. The Youth Mentoring Network reserves the right to change these terms and conditions at anytime.
* Please tick this box to accept the above conditions