Connect mentoring application form

Which school do you attend?

Bundamba State Secondary College

Lockyer District State High School

Lowood State High School

Redbank Plains State High School

Toogoolawah State High School

Woodcrest State Secondary College

My school is not listed

Student Information

Legal Name (required)As written on your birth certificate

First Name

Last Name

Preferred Name (required)

Preferred First Name

Preferred Last Name

School Email Address

Mobile

Student Identity

The following questions help us best support you in the mentoring program by matching you, where possible, with a UQ student mentor who has a similar background to you (where you would like this to be the case).

Are you of Aboriginal and/or Torres Strait Islander heritage?

Where possible, would you prefer your mentor to also identify as Aboriginal or Torres Strait Islander?

Are you of Pacific Islander and/or Māori heritage?

Where possible, would you prefer your mentor to also identify as Pacific Islander?

How do you describe your gender?

Gender Identity

Where possible, would you prefer your mentor to also identify as the same gender?

Did your parents/guardians complete a University degree?

Student Interests

The following questions are about your interests, they help us best support you in the mentoring program by matching you, where possible, with a UQ student mentor who has a similar background to you.

What are you currently interested in studying after school? (If you are unsure please write - I'm not sure yet)

Please list

What are a few of your hobbies or interests outside of school? (such as sport, music, travel, art, etc.)

Please list

What interests you in being apart of the UQ Connect Mentoring Program? (for example, university advice, motivation, confidence, connecting with current university students, etc.)

Please list

Connect mentoring application form

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