Mentor Online Application Form

Fill in your details below and click on the Submit button. Fields marked with an arrowhead (required) are required.

Section 1: Your Details

required Title:
required Given Name(s):
required Surname:
required Address:
required Suburb:
required Post Code:
 
required Date of Birth:
required Sex:
required Phone:
Mobile:
Best time to call:
required Email Address:
Where did you hear about BSOL?

Section 2: Please tell us about your computer experience

Are you able to teach all of the BSOL Basic Curriculum?
Can you train on Apple Mac?
Is this your preference?
Specific strengths and expertise:
Comments:

Section 3: Where will you teach?

(Please indicate your preferences. Not all learner locations may be available in your area.)





Please see the Mentor Notes for more information.

I apply for membership of Brisbane Seniors OnLine. I agree to my personal details being entered on BSOL's database and used in accordance with BSOL's Privacy Policy. I agree to abide by the Brisbane Seniors OnLine Code of Conduct. I acknowledge that BSOL may require further verification of my identity.