Australian Insurance Law Association (AILA)

Mentee Application Please complete the details below, complete all boxes marked with a *
* First Name
* Last Name
* Phone
* Email
* Current employer
* Current position
To assist with better Mentor groupings, please answer the following
Number of years in insurance industry?
Area of practice/expertise
Relevant employment history and experience (200 words or less) Word Count: 0

Any other comments relating to your application (200 words or less) Word Count: 0

* I confirm that I have read and agree with the Mentoring Guidelines

CONTACT AILA OFFICE

	PO Box 4295 Burwood East VIC 3151
	1300 699 140		office@aila.com.au

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Mentee Application