Mentorship Application – gtprofacademy.org

Mentee Information

Full Name

Date

Address

House/Flat No

Phone

How did you hear about our mentoring Scheme?

Have you mentored before?

YES NO

If yes, explain

Education

Secondary School

Address

From

Did you graduate?

YES NO

College/ University

Address

From

Did you graduate?

YES NO

Summary of who you are, interests and personal values

Why do you want to be mentored?

What specific area or areas do you need mentoring?

If given the opportunity, would you try another industry other than what you are seeking?

YES NO

If yes why?

Mentor’s Declaration

Please tick to acknowledge you have read and agree to abide by each of the following:

I agree to respond to all correspondence sent to me in a timely fashion.

I agree to complete and return evaluation questionnaires when requested to do so.

I accept that I have a responsibility to keep in regular contact with my mentee, e.g. by phone/text/email or via our agreed channel of communication.

If, for whatever reason, my mentor and I miss a meeting, I accept that I have a responsibility to pursue contact with him or her as soon as possible.

I accept that I need to keep the management of Graduate Turns Professional informed of developments such as difficulty or breakdown in the mentoring process as quickly as possible. (It is a requirement that you keep us updated with how the mentoring relationship is going

I agree to uphold confidentiality in all instances other than;
(i) Where concerns regarding the health or safety of the mentoring relationship or a third party necessitates disclosure,
(ii) Where either party has grounds to believe there is a child or adult protection issue,
(iii) In case of serious professional misconduct or criminal act which comes to light in the mentoring relationship,
(iv) If required by a court of law or police.

I understand that, I need to abide by all conditions to remain on this mentoring programme.

I accept that if my Mentor has not heard from me for four weeks, I may become liable to be withdrawn from the programme.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to mentorship, I understand that false or misleading information in my application or interview may result in my release.