Actuarial Mentoring Programme | Registration form (October 2018)

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* 1. Organisation

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* 2. Programme Partner details - This is our go to person for all queries, and to help facilitate selection of mentors and mentees.

First name

Surname

Job title

Email address

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* 3. Would your organisation be willing to host one of the learning events, for up to 100 people?

Yes - we may be able to help and are open to discuss this

No

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* 4. The lead sponsor from your organisation will be invited to major events, and kept up to date with the mentoring scheme progress. In some cases this may be the same person as the Programme Partner, in which case you may simply write "x" in the following boxes.

Sponsor first name

Sponsor surname

Sponsor job title

Sponsor email

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* 5. Complete the details below so that we are able to invoice you for your contribution towards joining this scheme. Please talk to us if you have any questions or concerns.

Name on invoice

Email

Purchase Order Number (if applicable)

Invoice address

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* 6. Select the appropriate box to indicate the number of participants you would like to include on the scheme. Mentors and mentees must be included in equal numbers, for example 10 pairs will be made up of 10 mentors and 10 mentees. Moving Ahead are available to discuss and support you with your selection process.

Up to 5 pairs - £3,000

Up to 10 pairs - £6,000

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* 7. We would love to help with your internal communications, to capture case studies, showcase the programme internally and to communicate with stakeholders. If you have a key contact for internal communications share their email below and we will be in touch.