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Mentee Registration Form
Basic Information
1. First Name
2. Surname
3. Age
16-18
19-25
26-30
4. Gender
Female
Male
Non-binary
Prefer not to say
5. Phone Number
6. Email
7. Postcode
Areas of Mentorship Support
8. What areas would you like support or guidance in? (Select all that apply)
Finding a job or career direction
CV writing / Job applications
Confidence and Self-esteem
Education or training Options
Starting a business or freelancing
Managing life transition (e.g. leaving care, moving out)
Communication or interpersonal skills
Mental wellbeing / emotional resilience
Money management or budgeting
Background and Support Needs
9. Are you currently in education, employment, or training?
Yes
No
10. Have you ever been NEET (Not in Education, Employment, or Training?)
Yes
No
11. Have you ever been in care or had involvement with social services
Yes - currently in care
Yes - previously in care
No
12. Have you experienced any of the following challenges growing up? (tick all that applies)
Homelessness or housing instability
Family breakdown or parental loss
Mental health challenges
Caring responsibilities
Involvement with youth justice system
Discrimination or exclusion in school
Personal Motivation
13. Why are you interested in having a mentor?
14. What would success in your mentoring relationship look like to you?
15. Is there anything else you would like us to know about you, your goals, or what support you would find helpful?
Availability and Commitment
16. How often would you like to meet you mentor?
Every 2 weeks
Once a month
Not sure yet
17. Are you happy to meet your mentor online, in person, or both?
Online Only
In person
Either / Both
18. Are you willing to commit to a mentoring relationship for at least 6 months?
Yes
No
Consent and Safeguarding
19. Do you give permission for us to contact you about mentoring opportunities
Yes
No
20. Do you consent to us storing and processing your data securely in line with GDPR?
Yes
No
Send
Mentor Registration Form
Basic Information
1. Full Name
2. Email
3. Phone Number
4. Postcode / Location
5. Preferred method of contact
Email
Phone
Your Professional Background
6. What is your current Job title
7. What is your current industry or field of work? (e.g. Education, Tech, Finance, Public Sector, Law, etc.)
8. Please briefly describe your career journey or any relevant experience you would like us to know about.
Mentoring Preferences
9. What age group are you most comfortable mentoring? (Select all that apply)
16-18
19-24
25-30
I'm open to any age
10. Are there specific groups of young people you feel especially passionate or equipped to support (Tick all that apply)
Young people who have been in care
Young people who are NEET (Not in Education, Employment, or Training)
Young people with SEND or neurodiversity (e.g. ADHD, autism)
Young parents or carers
Refugees / Migrants
LGBTQ+ young people
I'm open to supporting anyone
11. What areas do you feel confident offering support or guidance in? (Select all that apply)
Career advice and industry insight
Getting into work, education or training
CV Writing / Interview preparation
Starting a business
Boosting confidence and communication
Mental wellbeing and resilience
Goal setting and planning
Financial Literacy or budgeting
Networking and building connections
Happy to be led by the young person's goals
12.How would you prefer to deliver mentoring?
Online only
In Person
A mix of both
No strong preference
13.Roughly how much time can you offer per month?
1-2 hours
2-4 hours
5+ hours
Depends on the young person's needs
14.How long are you ideally willing to commit to a mentor
6 months
9 months
12 months or longer
Open-ended
15. Do you have any previous mentoring, coaching or youth work experience?
Yes - formal mentoring
Yes - informal (e.g., team leadership, family, community)
No
16. Is there anything else you would like us to know about your background, values, or the kind of mentoring relationship you would like to offer?
Safeguarding
The safety and wellbeing of the young people we support is our top priority
17. For safeguarding purposes, do you have any criminal convictions (spent or unspent) that we should be aware of?
Yes
No
18.As part of our safeguarding commitment, all mentors are required to undergo a criminal background check (e.g., DBS) Are you willing to complete safeguarding and background checks, if required?
Yes
No
Let's discuss
Send