Mentee Registration London Excellence Mentee Application I wish to apply for support from a London Excellence Mentor. Question Title * 1. I understand that the role of a mentor is to provide challenge and support and that the role of the mentor is not to provide professional advice*. I understand that I will be asked to pay a registration fee. The registration fee is £145+vat for Ambassadors for Excellence, £245+vat for others**.Where relevant, I have permission from my manager / organisation.London Excellence will provide a half-day workshop to introduce the role and help us to provide the best match for you. You will be provided with a certificate of attendance at the workshop that can contribute to a portfolio of evidence should you wish to work towards a qualification in coaching and mentoring for yourself in the future.Payment of the registration fee and attendance at the workshop does not guarantee that we can provide a match for you. If we are unable to provide a match within 6 months of registration we will refund your fee less an £85+vat fee for the workshop & administration. * Please note: If you require professional advice we recommend that you seek support from the relevant professional body that can direct you to an appropriate individual.** Special introductory fees for the pilot programme I agree Question Title * 2. Please enter your: First Name Surname Job Role Company Email Telephone Number Question Title * 3. I would like my mentor to have experience in the: Not essential Preferable Essential Public sector Public sector Not essential Public sector Preferable Public sector Essential Private sector Private sector Not essential Private sector Preferable Private sector Essential Not-for-profit sector Not-for-profit sector Not essential Not-for-profit sector Preferable Not-for-profit sector Essential Question Title * 4. My mentor will ideally have experience in organisations employing: Not essential Preferable Essential 1 - 25 people 1 - 25 people Not essential 1 - 25 people Preferable 1 - 25 people Essential 26 - 50 people 26 - 50 people Not essential 26 - 50 people Preferable 26 - 50 people Essential 51 - 250 people 51 - 250 people Not essential 51 - 250 people Preferable 51 - 250 people Essential 251 - 1000 people 251 - 1000 people Not essential 251 - 1000 people Preferable 251 - 1000 people Essential >1000 people >1000 people Not essential >1000 people Preferable >1000 people Essential Question Title * 5. My mentor will ideally have experience of personally leading / managing: Not essential Preferable Essential 1 - 10 people 1 - 10 people Not essential 1 - 10 people Preferable 1 - 10 people Essential 11 - 50 people 11 - 50 people Not essential 11 - 50 people Preferable 11 - 50 people Essential 51 - 250 people 51 - 250 people Not essential 51 - 250 people Preferable 51 - 250 people Essential 251 - 1000 people 251 - 1000 people Not essential 251 - 1000 people Preferable 251 - 1000 people Essential >1000 people >1000 people Not essential >1000 people Preferable >1000 people Essential Question Title * 6. My mentor will ideally have experience of personally managing budgets in excess of: Not essential Preferable Essential £100,000 £100,000 Not essential £100,000 Preferable £100,000 Essential £250,000 £250,000 Not essential £250,000 Preferable £250,000 Essential £500,000 £500,000 Not essential £500,000 Preferable £500,000 Essential £1 million £1 million Not essential £1 million Preferable £1 million Essential £10 million £10 million Not essential £10 million Preferable £10 million Essential Question Title * 7. I would like to explore how I can help my organisation to improve its: Not relevant Of interest Essential Customer focus Customer focus Not relevant Customer focus Of interest Customer focus Essential Innovation and creativity Innovation and creativity Not relevant Innovation and creativity Of interest Innovation and creativity Essential Strategic direction / leadership Strategic direction / leadership Not relevant Strategic direction / leadership Of interest Strategic direction / leadership Essential Partnerships with other organisations Partnerships with other organisations Not relevant Partnerships with other organisations Of interest Partnerships with other organisations Essential Management systems Management systems Not relevant Management systems Of interest Management systems Essential Management of their people Management of their people Not relevant Management of their people Of interest Management of their people Essential Performance & growth Performance & growth Not relevant Performance & growth Of interest Performance & growth Essential Sustainability & corporate responsibility Sustainability & corporate responsibility Not relevant Sustainability & corporate responsibility Of interest Sustainability & corporate responsibility Essential Question Title * 8. I would like to explore my: Not relevant Of interest Essential Career direction Career direction Not relevant Career direction Of interest Career direction Essential Transition into a new role Transition into a new role Not relevant Transition into a new role Of interest Transition into a new role Essential Other (please specify) Question Title * 9. Please tell us about the reasons you want to find a mentor and what you want to get out of the relationship. This information is important in helping us to provide the best potential matches for you. Question Title * 10. I agree to attend a half-day briefing Please contact me to arrange a suitable time Done