Thank you for your interest in the Queensland Government's Mentoring for Growth™ (M4G) program, which has been supporting Queensland small businesses for over 20 years.

This registration form is specifically for those small businesses seeking a speed mentoring session at the 2023 Growing Queensland Roadshow. These sessions take place during the Roadshow and are 30 minutes long with two experienced business mentors.

If you would like one of our regular small business mentoring sessions, which will take place on a different day, please complete the normal M4G registration form instead. Our regular mentoring sessions are currently held online using Zoom, they are 45 minutes long with two experienced business mentors.

This speed mentoring registration form will take you about 10 minutes to complete - you won't be able to save the form and continue it at a later date once you've started it.

Some of the details you might like to have ready before you start this form.

  • Your Australian Business Number (ABN)
  • An estimate of your employee numbers (head count of employees, excluding contractors and management)
  • At least a sentence or two for each of these topics:
    • Business description
    • Challenges

If you are finding it difficult to complete the registration form at this time, and/or would like to be referred to your local departmental regional office, please email m4g@desbt.qld.gov.au. 

Once we have received your completed registration form, we will contact you within 3 business days to organise a time on the Roadshow day near you for your speed mentoring session to occur. 

Agreement to the conditions in the Mentee terms and conditions is required for participation in the program. You will be asked to acknowledge and accept these conditions before you can continue your registration. All of our M4G mentors have also signed a Mentor Deed Poll, which sets out the obligations of both mentors and mentees under the program and ensures confidentiality.

It is important to note that registering your interest does not automatically mean you will join the program. It also does not guarantee you a speed mentoring session at the Roadshow, as sessions are limited. If we cannot book you in for a session at the Roadshow, we'll offer you one of our regular online mentoring sessions on another day. 

*IMPORTANT*

Never supply information which you have any doubt about giving. Your personal and company Intellectual Property is very important and should be treated as such. The department and its officers and mentors are subject to obligations of confidentiality and must not disclose confidential information without your consent.

Privacy

The department collects personal information from you to provide services in relation to our mentoring program which meet your needs and to communicate relevant and related government information and services to you (e.g. workshops, seminars, grant programs). We will only use your information for this purpose. Your information may be shared with individuals registered as Mentors with our mentoring program, the Minister for Employment and Small Business and Minister for Training and Skills Development and Minister for Youth Justice and other Queensland government agencies. Your personal information will be handled in accordance with the Information Privacy Act 2009. It will otherwise not be used or disclosed unless authorised or required by law.
 

 
 
 

Mentee Online Registration Terms and Conditions 

To participate in the M4G program, all mentees are required to agree to the Mentee terms and conditions. All M4G mentors are also required to sign a deed poll document. For your personal records, you can download a copy of the Mentee terms and conditions here. A link to downloadable document will also be sent in the confirmation email when you submit this registration.

Terms and conditions

In these Terms and Conditions, I/we/me/us mean the person registering to be a mentee in the Mentoring for Growth Program.

1. I will not, through my conduct and participation as a mentee in the Mentoring for Growth Program be deemed to be an employee, partner or agent of the Department.

2. I release (to the full extent permitted by law) the Department and the Mentor/s from and against any claim, actions, proceedings or demands and in respect of any loss, death, injury, illness or damage (whether personal or property, and whether special, direct, indirect or consequential, including consequential financial loss such as loss of profit, revenue, goodwill or business opportunities and damage to reputation) which may be brought against or made upon or incurred by the Department or a Mentor arising directly or indirectly out of:
 
a. my interpretation or use of any guidance provided by a Mentor or any act or omission made by a Mentor pursuant to the Mentoring for Growth Program, including any referral agreement I enter into with a Mentor or a third party;

  b. any default by a Mentor in the provision of services under the Mentoring for Growth Program;
  c. any infringement or alleged infringement of any intellectual property rights or moral rights as defined in the Copyright Act 1968 (Cth).

3. I will not encourage or allow a Mentor to solicit for business from me prior to or during a Panel Meeting or mentor chat.

4. While attending a mentoring session, including but not limited to Panel Meetings, or Mentor Chats, my understanding is that the Mentor will draw on their knowledge and experience to challenge my commercial assumptions and offer strategic options that may assist me overcome challenges or achieve commercial objectives. The Mentor may also suggest the names of persons or organisations that may further assist me.

5. I warrant that, to the best of my knowledge, I do not and am not likely to have any conflict of interest in participating in the Mentoring for Growth Program. If a conflict or risk of a conflict of interest arises, I will immediately notify the Department and I will comply with the directions of the Department to manage such conflict or risk or a conflict of interest.

6. I will treat all confidential information of a Mentor or the Department (including any information generated as a result of the Mentoring for Growth Program that is marked as confidential or could reasonably be considered as confidential) as confidential and will not, without the prior written consent of the owner of the confidential information, disclose or permit the confidential information to be disclosed to any other person, except as permitted by law or to the Mentee's own employees who are under an obligation to keep such information confidential.

7. I acknowledge that title to, and intellectual property rights in all Mentoring for Growth Program material, vests in the Department. Title to intellectual property rights in relation to anything created by a Mentor in relation to my business, in the course of the Mentor’s participation in a Panel Meeting, vests upon its creation in me. A Mentor’s existing intellectual property rights remain with the Mentor as the current owner.

8. I will, as and when reasonably requested by the Department, provide progress reports in relation to my participation in the Mentoring for Growth Program.

9. These terms and conditions will continue for the duration of my participation as a Mentee in the Mentoring for Growth Program.

10. My participation in the Mentoring for Growth Program may be terminated by either the Department or myself on giving the other reasonable prior written notice of such termination. Subject to clause 2(b) termination may be effective immediately or at a time nominated by the party giving notice.

11. The Department may vary these terms and conditions on notice to you.

12. Unless expressly provided for in these terms and conditions, this arrangement is governed by the laws of the State of Queensland.

13. I have read, acknowledge and agree to the Department’s privacy collection notice.

14. I agree that when receiving a Mentor’s services under the Mentoring for Growth Program, I will not rely on any information provided by a Mentor and will carry out my own due diligence prior to considering whether or not the information is suitable for my business. To remove any doubt, I fully accept all responsibility regarding the use of any information provided by a Mentor under the Mentoring for Growth Program.

Definitions

Department - means the State of Queensland represented by the Department of Youth Justice, Employment, Small Business and Training.

Mentor/s - means the person/s that provide/s the mentoring assistance to the Mentee.

Mentor Chat means a one on one or small business discussion with a Mentor/s for the purpose of receiving the mentoring services either in person, by telephone or videocall.

Mentoring for Growth Program - means the “mentoring for growth”, “mentoring for recovery” and “mentoring for export” programs (or other mentoring programs) offered by the Department.

Panel Meeting/s – an official Mentoring for Growth Program session.

 
By checking this box you acknowledge you have read and accept the Mentee terms and conditions*
 
 
 
 


Contact details


Ideally, contact details should be provided for the owner of the business, as they will be the one attending the mentoring session. 

  
Roadshow Location*
 
 
 
Business Name*
 
 
 
ABN*
 
 
 
 
Salutation
 
 
 
 
First Name*
 
 
Last Name*
 
 
 
Job Title*
 
 
 
Email*
 
 
 
Phone number*
 
 
Mobile number
 
 
 
 
 
 
Contact details provided are for the owner of the business*
 
 
 
 
 
 
 

Website and Social Media

You can skip this section if you don't yet have a website or any social media accounts for your business.
 

 
Website
 
 
 
Social Media
 
 
 
 
 

Physical business address

Please Note - Only businesses with a Queensland address are eligible to participate in the program. The address provided below will be verified against the ABN.

 
Address Line 1*
 
 
 
Address Line 2
 
 
 
Suburb*
 
 
State*
 
 
Postcode*
 
 
 
 
 

Diversity

Please indicate if you identify as belonging to any of the following groups:

 
What is your age range?*
 
 
 
 
Which of the following best describes your gender identity?*
 
 
 
 
Do you speak a language other than English at home?*
 
No
Yes
 
 
 
 
 
 
Are you an Aboriginal person or Torres Strait Islander person? Australian South Sea Islander person?*
 
 
Yes, I am also an Aboriginal person
 
 
 
Yes, I am also a Torres Strait Islander person
 
 
 
Yes, I am also a South Sea Islander person
 
 
 
 
 
 

About your business

We recommend providing at least 1-2 sentences in response to each of the questions that have a text field for responses. This information is provided to the mentors participating in your mentoring session to help them prepare for the session. 

Your personal and company Intellectual Property is very important and should be treated as such. Never supply information which you have any doubt about giving. The department and its officers and Mentors are subject to obligations of confidentiality and must not disclose confidential information without your consent.

 
What year did the business commence trading?
 
 
 
 
How many people do you employ? (headcount excluding owners and contractors)
 
 
 
 
 
 
 
Turnover 2021/2022
 
 
Turnover 2022/2023
 
 
Turnover 2023/2024
 
 
Business description and history*
 
 
Brief details about your top two business challenges for discussion in your session*
 
 
Does your business identify as working within the following sectors? Please tick all that apply.
  
Tourism
 
 
 
Artisan food or beverage
 
 
 
Social Enterprise
 
 
 
National Disability and Insurance Scheme (NDIS)
 
 
 
 
 
 

Other

Is there any other information about your business that you would like to share with us?

 
Other
 
 
 
 
 

Privacy

The department collects personal information from you to provide services in relation to our mentoring program which meet your needs and to communicate relevant and related government information and services to you (e.g. workshops, seminars, grant programs).  We will only use your information for this purpose. Your information may be shared with individuals registered as Mentors with our mentoring program, the Minister for Employment and Small Business and Minister for Training and Skills Development and Minister for Youth Justice and other Queensland government agencies.  Your personal information will be handled in accordance with the Information Privacy Act 2009.  It will otherwise not be used or disclosed unless authorised or required by law.

Go to https://www.business.qld.gov.au/privacy to learn more about privacy and our CRM on the Business Queensland website.

 
Where did you first hear about the program?*
 
 
 
Register for seminars, training, networking events and the monthly Business Queensland Connect newsletter
 
Yes
No