10 Places Left - WBS Mentoring Programme 2012 - Application Form

1. Personal Profile of Applicant

==========================================================
2012 Mentoring Programme Applications

** 10 places available **
==========================================================

To apply complete the application form, in FULL. Only fully complete application forms can be submitted.

Ensure ALL fields are complete, particularly the :

• ABOUT YOU
• INDUCTION DAYS

This information is required to help match the right mentor for you. We are paying particular attention to your goals and skills you would like to develop.

DEADLINE : All applications need to be completed in FULL by 12 noon Monday 6th February 2012.

NOTE: The cost to you is £200 for the 2 years, around 25p per day and this sum is payable by February 2012.

It is expected that you attend one of the induction days, preferrably the face to face induction on Friday 23rd March 2012.

Two remote inductions will take place on 27th and 29th March.

1. Student or Alumni ID (where known):

Student or Alumni ID (where known):

*
2. First/Preferred name:

First/Preferred name:

*
3. Family name:

Family name:

*
4. Sex

Sex Male

Female

*
5. Age:

Age:

*
6. Contact information:

Contact information: City/Town:
Country
Email Address:
Phone Number:

1 / 6

17%

10 Places Left - WBS Mentoring Programme 2012 - Application Form

1. Personal Profile of Applicant

1. Student or Alumni ID (where known):

*2. First/Preferred name:

*3. Family name:

*4. Sex

*5. Age:

*6. Contact information:

*
2. First/Preferred name:

*
3. Family name:

*
4. Sex

*
5. Age:

*
6. Contact information: