Mentor Profile Form

By completing this form you are giving consent to Entrepreneurial Scotland to use the details provided for the sole purpose of mentor-mentee matching.  In order to establish if a mentor/mentee is suitable, it will require the sharing of personal information with the potential mentor/mentee which may include Name, Linkedin profile, business website as well as summary information with regards the anticipated outputs from the mentor/mentee relationship.

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* 1. What is your name?

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* 2. What is your company name?

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* 3. What is your contact telephone number?

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* 4. Where are you located?

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* 5. What is your current role/ title?

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* 6. What is your email address?

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* 7. Please provide url to  your LinkedIn profile

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* 8. Please provide url to company website

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* 9. Why do you want to become a mentor? (up to 500 words)

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* 10. Please provide your Bio below summarising your key appointments and any areas of special skills / interests (up to 1000 words)

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* 11. Please outline below any previous experience you have of mentoring

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* 12. If you require any additional support or training to help you undertake the mentoring role successfuly, please provide details below

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* 13. Would you be willing to mentor more than one mentee?

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* 14. How did you hear about the ES mentoring programme?

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* 15. Industry Experience - Please tick from the list below to indicate your indusrty experience:

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* 16. Please tick from the list below to indicate your industry experience, using the following guidelines?

5 - Excellent, 4 - Very Good, 3 - Good, 2 - Elementary, 1 - NA

  5 4 3 2 1
Attracting Investment / Funding
Board Experience
Customer Acquisition & Retention
Early Stage / Start Up
Exit Strategy
Finance & Accounting
Information Technology
Leadership & Management
Legal / Commercial
Merger & Acquisition
Marketing & Branding Strategies
International Markets
Personal Development
Public Relations
Research & Development
Retail
Scaling a business
Sales / Business Development

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* 17. The ES mentoring programme is a self governed service and the frequency of contact is scheduled by the individuals involved.  It is recommended however that meetings should take place at least quarterly.   Can you commit to meeting with a mentee at least once a quarter?

Thank you for your application to join the ES mentoring Programme. We're excited to be connecting the dots and look forward to matching you with a mentee who will benefit from your fantastic range of skills and experience.

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