Transition - Application for Cultural Diversity Training

Your Details
Register your details for a chance to participate in this great opportunity to build on your existing mentoring skills. Please remember that applicants must be current 2009 participants in UniMentor and/or UniLink.

Your First Name:

Your Surname:

Your Student Number:

Contact Mobile Number:
(This may be used to send a TXT reminder).

Please indicate which programs you are a current participant in:

	UniMentor		UniLink		Both programs

Please choose the workshop you would like to attend:

	1.00-4.00pm, Thursday 23rd July, 2009 in Social Sciences Seminar Room G201.

Your Interest in the Course
The information you supply in this section may help us determine whether you will be offered a free place in the course.

Why would you like to participate in these workshops?

How do you expect this course will assist you when working with first year students or students new to UWA?

If I am successful, I agree to attend the Courageous Conversations Workshop on the date and time I nominated. If I can not attend, I will let the UniMentor staff know before the course start date.

	I Agree