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* 1. Name

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* 2. Email address

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* 3. Organisation

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* 4. Job Title

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* 5. Please enter a link to your LinkedIn profile (if you have one)

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* 6. Please provide a short biography of your experience to date. This should be no more than 100 words or so. 

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* 7. Please use the space below to explain your motivations for applying to be a mentor at this time. Please limit your answer to circa 150 words. 

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* 8. What is your experience of being a mentor?

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* 9. We work with teenagers across the country. Whereabouts would you want to mentor? Please list a town/s that is/are convenient for you.

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* 10. We ask for a 2 year commitment from our mentors. Does this fit your current, and anticipated, future circumstances?

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