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WENTS UK mentor sign-up

Thank you for your interest in the WENTS UK mentor scheme. Kindly complete the below form and we will be in touch.

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* 1. Full Name

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* 2. Email

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* 3. Are you an ENT UK Member?

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* 4. Would you like to take part in the WENTs mentorship scheme as a:

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* 5. What grade are you?

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* 6. Time in post (years)/level of training eg ST6, or the length of time you have been a in post eg 5 years full/
part time

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* 7. Can you write a few sentences for your future mentees/mentors as an introduction please, including which
region are you based in?

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* 8. Do you have any preferences regarding the gender of your mentor/mentee?

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* 9. If there is a choice would you like to be mentored by a...

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* 10.  If there is a choice would you like to mentor a: (note: you may choose more than one option)

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* 11. What format would you prefer the mentoring programme to take?

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