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Home
Who?
How?
Why?
About
Apply to become a mentor
Make a referral
Blog
Contact us
MENTOR APPLICATION
●
Email
*
First Name
*
Last Name
*
Mobile Number
*
Address
*
Date of birth
*
City
*
Postcode
*
Preferred Methods of Contact
*
Phone-call
E-mail
Text
WhatsApp
What languages do you speak?
Religion
Ethnicity
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Next
Your Availability
●
When would you generally be available as a Mentor?
Evening
Weekends
Lunchtimes
Availability Comments
What is your work postcode?
How far can you travel from your work postcode for meetings with someone you Mentor?
Up to 5 miles
6-10 miles
11-20 miles
20+ miles
What is your home postcode?
How far can you travel from your home postcode for meetings with someone you Mentor?
Up to 5 miles
6-10 miles
11-20 miles
20+ miles
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Next
Employment, Study & Volunteering, More About You
●
Employer
Job Title
Highest Academic Qualification & Subject
Academic Institution
Volunteering Experience
Why do you want to become a Mentor?
*
What are three of your hobbies?
*
What are three of your best skills?
*
Reference 1
Name
Contact No.
Email Address
Reference 2
Name
Contact No.
Email Address
Please check the boxes that follow to indicate your consent according to the given statement:
*
I authorise My Foster Family to complete any required reference checks
If I am chosen as a Mentor, I give permission to be photographed and/or filmed during my participation in the program
I also authorise My Foster Family to include the above stated photographs and/or films in promotional materials for My Foster Family
Signature
*
Date Signed
*