Member Application - An Hour of Mentoring with

By submitting this form, you are giving consent to Entrepreneurial Scotland to share the information provided with a potential Mentor.

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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 current role/ title?

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* 4. How long has your business been established?

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* 5. What is your current turnover?

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* 6. How many staff do you have?

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* 7. Who is your preferred mentor? Please rate in order of preference

	First	Second	Third
Sandy Kennedy	Sandy Kennedy First	Sandy Kennedy Second	Sandy Kennedy Third
JC Granier	JC Granier First	JC Granier Second	JC Granier Third
Colette Grant	Colette Grant First	Colette Grant Second	Colette Grant Third

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* 8. Please provide your Bio

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* 9. What are the key topics or areas you would like to discuss with your mentor?

Thank you for your application to take part in the 'Hour of Mentoring' event. Due to the high demand for mentoring, each application will be assessed based on the content above and suitability for mentoring will be established in conjunction with the Mentor.

We will contact you following the application deadline to advise of the outcome.