Registration of Expression of Interest for 2016

Registration of Expression of Interest for 2016

<p> Joint SPE-PESA Mentoring Program (SA)</p><p>Registration of Expression of Interest for 2016</p><p>Background Information First Name Last Name Membership (delete as appropriate) SPE / PESA / Both SPE and PESA Gender No. Years of Industry Experience Employer Position Company Type (e.g. Operator, Contractor, Service Company, Consultancy, etc)</p><p>Registration Category What are you registering as?</p><p>Mentor</p><p>Mentor (willing to have more than 1 mentee)</p><p>Mentee Main Area of Expertise Briefly describe your main area of expertise and your strongest competencies (technical and non- technical knowledge, skills)</p><p>Competencies (Mentees Only) For Mentees only – Briefly describe key competencies which you like to strengthen.</p><p>Main Interests Outside of Work Briefly list your main interests/hobbies outside of work. </p><p>Mentor/Mentee Preference For matching purposes, please indicate if you have a preference for the discipline of your matched mentor/mentee:</p><p>Geoscientist Engineer</p><p>No Preference</p><p>Please email this completed form to [email protected] before COB Friday 13th May. We aim to notify successful applicants by Tuesday 31st May following determination of mentee/mentor pairs.</p><p>Thank you for your Expression of Interest in the 2016 Joint SPE-PESA SA Mentoring Program and for your time taken to complete this registration form.</p>

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