ALGWA Peer Mentoring for Candidates - Application for Mentoring
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Website
First Name
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Last Name
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Email
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Phone
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State/Territory
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Select one of the following options
NSW
VIC
QLD
SA
WA
TAS
ACT
NT
Other
Postcode
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I have read and agree to our Training Event Registration Requirements
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Women for Election Training Event Registration Requirements (Opens in new tab)
. Women for Election’s remit is to provide training for women and non-binary people only and do so in a safe and secure environment. In order to do so, we require all participants to acknowledge and adhere to our identity statement, safe space acknowledgement, code of conduct and privacy policy.
Yes
Accessibility requirements (if any)
Underrepresented communities
*
Do you identify as a member of any/several underrepresented communities?
LGBTQIA+/non-binary
First Nations
Disability
Young women (18-28)
Culturally and/or racially diverse
Regional, rural, remote
None of the above
Prefer not to say
Electoral Experience
*
Have you ever (tick all that apply)
Select one of the following options
Run for public office
Volunteered for a political campaign
Volunteered on an issues-based campaign
None of the above
Do you intend to run in the next election?
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Yes
No
Unsure
Which level(s) of government are you most interested in?
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Federal
State
Local
Unsure
Other
If you selected "other", please specify other level(s) of government
Which political party do you most align with?
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Select one of the following options
Australian Labor Party
Liberal Party of Australia
The Nationals
Liberal National Party of Queensland
The Greens
One Nation
As an Independent
A minor party
Not sure
Prefer not to say
How confident would you feel to run for a political office? (1=not at all confident, 7=very confident)
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Between 1 (not at all confident) and 7 (very confident)
Select one of the following options
1
2
3
4
5
6
7
What program(s) have you previously completed?
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Women for Election event(s)
University-led program
Party-led program
Community Leadership Program
Council training Program
Other
If you selected "other", please specify other program(s) completed
What is your local government area/electorate?
*
Are you based in a metro or regional area?
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Metro
Regional
Are you planning to nominate or support someone?
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Nominate as an election candidate
Support someone who runs by working on their campaign
Not sure
Please outline any experience you may have and what level of government
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Please briefly outline why you want to stand for public office?
*
Please describe any previous involvement in formal or informal mentoring relationships you have been a part of
*
Is there anything else you would like to tell us about yourself?
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