Expression of interest - Mentoring for Diversity mentor

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Name *

Email address *

Phone *

Location *

Membership number (optional) Please add your membership number if you are an IoD member

Have you had at least 10 years’ experience on a board? *

Yes

No

If yes, what type of board have you been on? (Optional)
Select all that apply

A large company board

A large public-sector entity board

An NZX listed or Deloitte Top 200 board

A large Not-for-Profit board

Have you had a minimum of 3 years chairing a board? *

Yes

No

I would like to express my interest in being a mentor for the Te Ara Tāwhaki programme