Apply to Become a Business Mentor

New Zealand Residents Only

To become a business mentor, all you need to do is:
  • Complete the online application form below
  • Read and accept the Mentor Commitment Contract
  • Attend an interview with your local Business Mentors New Zealand Regional Business Partner
Following your interview you will be sent an email to advise you of the outcome of your application.

Please Note:
Form fields that are marked with an asterisk * are required fields that must be completed.
Step 1 - Application Form Step 2 - Terms and Conditions
First Name:
Last Name:
Company Name:
Email Address:
Confirm Email Address:
Work Phone:
Home Phone:
Mobile:
Postal Address:
Suburb:
City:
Post Code:
Region:
Age Range
Gender:
Ethnicity:
Professional Memberships












 
Please select the categories that best define your industry experience and describe the business activity with which you are most familiar:


















Other Industry:
Describe your industry experience:
Please select the category/categories of expertise which best describe your business skills:


















Other Skill:
What factors do you think contribute most to your success in business?
Briefly list your work history:
Are you aware of any factors relevant to your suitability to act as a mentor e.g. bankruptcy, criminal convictions:
Why are you interested in being a mentor?
Please enter the names of two references who we can contact by phone:
Reference 1 Name:
Reference 1 Phone:
Reference 2 Name:
Reference 2 Phone:
If you would like to upload a personal CV to support your application, please use the upload function below.