Youth Mentoring Network » Add your Program

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:

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:

*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