Nishaan Mentoring Scheme- Mentors Sign up Form

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Share your knowledge and experience. Encourage a young person to achieve their potential. Broaden your own skills and judgement.

This form is for university students who would like to take part in the Nishaan Mentoring Scheme. You will be allocated a mentee who will be between the ages of 16-18 and is looking for some advice/guidance on applying to university, what subject to study and career choices.

Please note we are at an early stage with this project but would like to see how many mentors we can get on board before signing up students.

What is your full name? *

Please state your gender *

Male

Female

Please state your age *

Which subject are you studying? *

Which university are you studying at? *

Which year are you going into in September 2017? *

Year 1

Year 2

Year 3

Year 4

Year 5

Other:

What is your email address? *

What is your phone number? *

What career are you interested in pursuing? *

Do you have any criminal convictions or are there any reasons which would legally prevent you from working with young adults? *

Yes

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