Transition - Change Mentor Training Session

Please fill out this form if you have already registered to be a UniMentor for 2010 and have been asked by us to change your training time or if you need to select a different time for your own personal reasons.

This form should also be used if you wish to withdraw from the program.

Withdraw or Change Mentor Training Session

YOUR DETAILS

Surname

First Name

Student Number

CHANGE YOUR TRAINING OR WITHDRAW
Please select from the options below.

Do you wish to withdraw from the UniMentor program for 2010?
Please note: Any student who has signed up for the program and then withdraws, will not be eligible to be a mentor for the following semester.

	Yes, I wish to withdraw
	No, I wish to change my training time

If you wish to change a MODULE 1 session (new mentors), which session would you like to attend?

	Module 1 - Fri 12/2 9.00-9.45am (Venue TBC)

If you wish to change or add a MODULE 2 session (new or existing mentors), which session would you like to attend?

	(Sorry, there are no more sessions this year). I will check the website in the new year to see if any more have been scheduled.

If you wish to change or add a MODULE 4 session (existing mentors), which session would you like to attend?
All existing mentors who have not completed new mentor training in 2009 are required to attend this short session.

	Module 4 - Fri 12/2 11am-11.45am (venue to be advised)
	Module 4 - Sun 14/2 10am-10.45am (venue to be advised)

If you wish to change O week briefing session (all mentors), which session would you like to attend?

	Briefing - Fri 12/2 12.00pm-1.00pm (venue to be advised)
	Briefing - Sun 14/2 11.00am-12.30pm (includes BBQ lunch. Venue to be advised)

Change Mentor Training Session or Withdraw