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Mentor Information Form 2026-27
Thank you for your interest in becoming a mentor on the Equal Power Equal Voice mentoring and training programme. Please complete the form below to tell us more about yourself. The information you provide will help us gather all the details we need and help us match you with a mentee who can benefit from your experience and expertise.
Personal Details
We ask for this information to support effective communication and help us make appropriate matches within the programme. We will only share the necessary information (such as your name, pronouns, preferred contact details, bio and any professional links you provide) with your matched mentee. All other information will remain confidential and used only for programme coordination and accessibility purposes.
*
1.
Personal details
(Required.)
Full Name
Email address
Phone number
Local authority area
Preferred contact details to share with your mentee
2.
Optional information
Nickname
Pronouns
*
3.
Emergency Contact
(Required.)
Name
Phone number
4.
Please use this box to share links to your professional website, social media or relevant press
5.
Please list any languages you are fluent in and would be happy to use when meeting with a mentee.
About You
We would like to get to know you better, understand your motivations, so we can carefully match you with a mentee whose goals and interests align with your experience and values
*
6.
Have you mentored anyone before (formally or informally)?
(Required.)
No
Yes (please give a brief description)
*
7.
What motivates you to become a mentor with the EPEV programme?
(Required.)
*
8.
Please provide a short biography that you are happy for us to share with your mentee.
This could include your professional background, areas of interest or expertise, and anything else you'd like your mentee to know about you.
(Required.)
Your Current Role & Expertise
We collect details about your current role, networks, and skills to help create
meaningful and supportive matches between mentors and mentees, based on shared experiences, interests, and areas of expertise.
*
9.
Please tell us about your current role(s)
(Required.)
10.
Organisation name
11.
Sector
*
12.
We understand that people often have a wide range of expertise that is not neatly reflected by their current post. Please tell us a bit more about the networks you have access to and any areas of experience you would like to share with a mentee.
(Required.)
13.
Do you have lived experience of marginalisation or barriers to public life that you would be happy to share?
14.
EPEV mentors bring a wide range of diverse skills and experiences, all of which are highly valued. To support us in the matching process, please let us know if you feel you have particular experience in any of the following areas
Standing for election
Public speaking/media
Campaigning/activism
Governance/boards
Community leadership
Navigating institutions
Other (please tell us more)
15.
We welcome participants from across the political spectrum and are not aligned with any political party. Being aware of your party affiliation may help us through the matching process. Please share this information only if you feel comfortable doing so.
Political party/parties
Independent
No political affiliation
Prefer not to say
Commitment & Availability
Regular and reliable contact helps build trust and ensures your mentee gets consistent support throughout the programme
*
16.
Are you able to commit to providing around 1 hour of mentoring every 4–6 weeks (via phone, Zoom/Teams, or in person) for the duration of the programme (July to March)?
(Required.)
Yes
No
*
17.
Please tell us about your ideal mentee. Consider where they would be in their public life journey, what they may be passionate about, or what their aspirations could be that you could support with.
(Required.)
Accessibility & Support
We want to ensure the programme is inclusive and that we can put in place any support or adjustments you may need to participate fully.
*
18.
Do you have any access needs we should be aware of to support your participation in the programme?
(Required.)
No
Yes (please let us know more)
*
19.
Referees
Please provide the name and contact details of two referees who can speak to your suitability to be a mentor. (We will ask them to complete a brief form.)
(Required.)
Name
Contact email
Name
Contact email
*
20.
Declarations
Please tick to confirm agreement to the following declarations:
(Required.)
I confirm that the information provided is accurate
I agree to uphold the values of EPEV, including inclusivity, respect and confidentiality
I have read and understood the EPEV
Privacy and Data Use Agreement
. I understand how my data will be used and stored and agree to the terms outlined above.
I have read and understood the expectations of the
EPEV Code of Conduct
and agree to uphold the values and behaviours outlined above throughout my participation in the programme.
*
21.
Photography and Publicity
EPEV sometimes takes photographs and videos during events to promote our programme and celebrate the achievements of participants. These may be used in our reports, website, social media, or other promotional materials.
(Required.)
I give my permission for EPEV to use photographs or videos of me for publicity purposes
I do not give my permission for EPEV to use photographs or videos of me