Mentoring and Coaching Programme

Please fill in this form to tell us more about what you are looking for from a mentor or coach. Do provide us with as much information as possible.

After submitting, one of the Consortium team will be in touch to discuss further. Please be patient with this as it may take some time to get back to you.

Please also note that after discussing this form it may take some time to find a suitable match from this programme. The current COVID-19 climate has added to everyone's workloads, including our mentors so please be patient with us.

Name*
First Last
Pronouns

Please use this space to tell us what pronouns you use (eg. he/she/they), this is optional but recommended
What Member organisation are you from?*
Email Address*
Enter Email Confirm Email
Phone Number*
Please include any extension numbers
Have you had a mentor/coach before?*
- Yes
- No
Please use this space to tell us why you are interested in getting some mentoring or coaching*
E.g. any particular issues you want to explore
Do you have any particular preferences for a mentor?
Please note we cannot guarantee finding a match based on preferences but will try our best!
Is there anything else you would like us to know?
E.g. Any access requirements or other bits of information not captured elsewhere
Consent*
I agree to the below privacy policy
All information entered on this booking form will only be used to administer this programme.
If you have any questions about how we handle your data privacy, please email: [email protected]