SAAMA Mentorship Programme Application Form

Thank you for applying to be a SAAMA mentee. Please see the mentoring guideline document for further information. The information contained on the completed form is confidential and will not be shared with any persons other than the Mentorship Committee.

We request that you complete this form as fully as possible. The information you provide will help us to match you with a mentor that has the experience and skills that best meets your development needs.

Information collected will be in compliance with the Protection of Personal Information (POPI) Act, tick below to accept.

Name:

Surname:

Job Title:

SAAMA Professional Designation:

Employer Company:

Contact Details (email address):

Contact Details (mobile number):

Office Location (City):

1. Are you prepared to commit a minimum of one hour per month to this programme?

YesNo

2. Please select the reason(s) for wanting to be a mentee:

Personal and career development (CPD Points)Leadership and/or skills developmentBuilding and maintaining professional networksDevelop a community of learning within SAAMA (mentorship circles)Reinforce learning and development by sharing knowledge and skills (AMBOK)

Please add any other reason(s) not listed above.

Professional qualifications and/or designations

Other (please list below):

Interpersonal and/or Business skills

Other (please specify):

4. Please tell us a bit more about yourself to help us pair you with an appropriate mentor.

5. What do you hope to gain by being on the SAAMA mentorship programme?

6. Do you have any specific preferences in terms of the level of mentor you would like to be mentored by? E.g. Principal Consultant, Director, Senior Engineer, Department/Line Manager, Senior Manager, Executive, Associate Consultant etc.

We will take your preferences into consideration when matching, though it may not be possible to meet all your preferences.

7. Do you have any other preferences in terms of the mentor you would like to be mentored by e.g. industry, gender.

We will take your preferences into consideration when matching, though it may not be possible to meet all your preferences.

8. General comments that you feel are important for us to know

9. Have you ever been mentored before – formally or informally?

Yes (formally)Yes (informally)No

10. If yes, may you please indicate in what area was the mentorship focused on?

Applicant declaration

I acknowledge that any personal information supplied to SAAMA is done so voluntarily to facilitate the processing of this application. I furthermore acknowledge that the information provided by me, is to the best of my knowledge both true and correct, and I understand that any incorrect or inaccurate information or documentation submitted may adversely affect the manner in which SAAMA processes my application to be a mentee.

Disclaimer
The information you are voluntarily providing will be used to help assist us in achieving our mentorship programme goals for SAAMA.

The information collected will be used in accordance with the POPI Act and will only be shared with the SAAMA Mentorship Committee.

Please tick the box below to accept the declaration and disclaimer above.

Date of Application:

CSAM	CPAM
CTAM	CMRP
CAMA	Pr. Eng.
Pr.Tech.Eng	Pr.Techni
Pr.Cert	GCC (factories)
GCC (mines)	PMP
API580 (RBI Management)	Certified Maintenance Planner
Other (please list below)

Communicating effectively	Confidence and assertiveness
Dealing positively with change	Career resilience
Management of people	Career planning and progression
Effective leadership	Managing virtual teams
Negotiating and influencing skills	Personal organisational skills and time management (prioritising and planning)
Work-life Balance	Project management
Managing key stakeholders/clients	Building and managing professional relationships/networks
Problem solving	Strategic thinking and implementation
Other (please specify)

SAAMA Mentorship Programme Application Form – Mentee

Personal Particulars