Mentee Registration Page | Vinnies Connect

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Who can make an application to Vinnies Connect?

Anyone who has been identified by a Vinnies service as a person who could benefit from the mentorship program.
Suitability Assessment

An association with a Vinnies Connect volunteer is intended to make a long-term positive difference. It is important that an applicant is motivated to achieve the goal or goals that they wish to set.

If any of these apply or there are any other questions please call the Vinnies Connect Coordinator on 0402 834 567 before completing the application.

If you have a mental health diagnosis and receive support from a health professional we will request their name and contact details in order to obtain a reference.
Eligibility Checklist
In order to continue with the registration, the applicant must check each of the fields above.
- The applicant is 18 years of age or older
- The applicant has the support of a sponsor from a Vinnies service
- The applicant has a goal or goals which they would like to achieve
- The applicant is ready to meet one-on-one with a mentor

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Vinnies Connect Sponsor
In order to join the Vinnies Connect program as a mentee, you need a sponsor. Please enter your sponsor details below:
Sponsor First Name*
Sponsor Last Name*
Role of sponsor
Sponsor Contact Info
Suburb

The suburb where the sponsor's office can be found.
Post Code

The post code where the sponsor's office can be found.
Sponsor Telephone Number
Sponsor Email

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Email*
Preferred Phone Contact Number*

If a landline please include the area code e.g. 02 1234 5678
Alternative Phone Contact Number (Optional)

If a landline please include the area code e.g. 02 1234 5678
Street Address Line 1
Street Address Line 2 (if required)
Suburb
Post Code

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Section B: For Matching Purposes
Living Situation*
- Living alone
- Living with other family members
- Living in shared accommodation
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Marital Status
Do you identify as an Aboriginal or Torres Strait Islander?*
- Yes
- No
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Smoker
- Yes
- No
Country of Birth*
Languages Spoken
Select as many options as you wish

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Please select the option(s) that best describe your meeting preferences:*
- My preference is to meet face to face with my Vinnies Connect mentor
- My preference is to meet with my mentor online or by telephone
- I am happy to meet face to face or online
Availability*
More information about availability
If you would like to add more information about your availability please use the space below (please be as specific as you can)
How long are you willing to travel for, to meet your mentor?*
What types of transport can you use to meet up?*
Select as many options as you wish
Time preferred (please select all options that apply)*
Select as many options as you wish
Do you prefer a mentor of particular language, religion, cultural background or sexual orientation?*
- Yes
- No
Details*
Age Preferred (please select all options that apply)*
Select as many options as you wish
Is there anything else you would like your mentor to know about you before you meet? (optional)
What do you hope to get out of the Vinnies Connect program?
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What abilities and skills do you have that would be helpful as a Vinnies Connect mentor?

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Are you currently receiving support through the National Disability Insurance Scheme (NDIS) ?*
- Yes
- No
Are you in regular or occasional contact with a psychologist, social worker or any other community support worker?*
- Yes
- No
Are you happy for us to contact this person?*
- Yes
- No
Please provide the details
HPC Name
Agency/Practice name
Email
Suburb
Phone Number

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Who can make an application to Vinnies Connect?