About you

Please tell us a little about yourself and what you are looking for, from the mentoring service
(We will process your data in accordance with our Fair Processing Notice http://www.physoc.org/privacy)

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* 1. Full Name

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* 2. Organisation

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* 3. Contact telephone number

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* 4. Current employment status

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* 5. In what area(s) do you feel you could provide support as a mentor?

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* 6. Are you currently acting as a mentor as part of another mentoring scheme? Or have you previously been a mentor?

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* 7. Have you previously received training to be a mentor?

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* 8. How often would you be willing to be in contact with your mentee? (Please note this is just a rough guide and is not an agreement )

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* 9. What methods of communication would you like to use in order to develop a strong relationship with your mentee?

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