Mentor Registration Form

Please complete this form with as much detail as possible. The information submitted will be used to identify the most suitable mentee for you. Please keep in mind that although the committee will do its best to pair you based on the information outlined in your application, we may not be able to accommodate all of your preferences. If you need any help completing this, please contact the Scheme Administrator at

By submitting this form you agree and confirm that:

  • If you are assigned a mentee, you agree to being committed to the programme including the engagement in a minimum of at least one session per month over a six month period.
  • You have discussed potential participation in this scheme with your organisation.

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