Youth Mentoring Community Placement
Mentor Expression Of Interest 

For any enquiries, please contact Laura Buerckner.
laurabuerckner@mmvllen.org.au
0491 286 814










IMPORTANT: WORKING WITH CHILDREN CHECK & POLICE CHECK

I understand that I am required to obtain a Working with Children Check and a Police Chck to be able to work as a volunteer mentor at a MMVLEN program.







Please provide answers to the following to assist in the assessment process of your expression of interest to be a mentor with MMVLLEN.




*You are still able to go on a holiday, but you will need to inform the mentee and the coordinator.




Please upload a copy of your resume


Referees

Contact details for 2 referees is required - please provide below.
Referee One





Referee Two





Emergency Contact Details

Emergency Contact