We Speak Mentor registration form - Summer & Autumn 2025 Question Title * 1. First name Question Title * 2. Last name Question Title * 3. Email Question Title * 4. Company Question Title * 5. Job title Question Title * 6. Would you prefer to take part as a mentor in Summer or Autumn? Summer - June 2025 Autumn - November 2025 Any is fine Question Title * 7. Mentor training - for Summer, which dates are you available for? All sessions take place 2-4.30pm (You'll only attend 1 session but please say Yes to as many options as possible as we'll choose the most popular dates). For Autumn, we will arrange with you separately. Yes No If needs be Tue 27 May 2-4.30pm Tue 27 May 2-4.30pm Yes Tue 27 May 2-4.30pm No Tue 27 May 2-4.30pm If needs be Wed 28 May 2-4.30pm Wed 28 May 2-4.30pm Yes Wed 28 May 2-4.30pm No Wed 28 May 2-4.30pm If needs be Thur 29 May 2-4.30pm Thur 29 May 2-4.30pm Yes Thur 29 May 2-4.30pm No Thur 29 May 2-4.30pm If needs be Fri 30 May 2-4.30pm Fri 30 May 2-4.30pm Yes Fri 30 May 2-4.30pm No Fri 30 May 2-4.30pm If needs be Mon 2 June 2-4.30pm Mon 2 June 2-4.30pm Yes Mon 2 June 2-4.30pm No Mon 2 June 2-4.30pm If needs be Tue 3 June 2-4.30pm Tue 3 June 2-4.30pm Yes Tue 3 June 2-4.30pm No Tue 3 June 2-4.30pm If needs be Wed 4 June 2-4.30pm Wed 4 June 2-4.30pm Yes Wed 4 June 2-4.30pm No Wed 4 June 2-4.30pm If needs be Thur 5 June 2-4.30pm Thur 5 June 2-4.30pm Yes Thur 5 June 2-4.30pm No Thur 5 June 2-4.30pm If needs be Fri 6 June 2-4.30pm Fri 6 June 2-4.30pm Yes Fri 6 June 2-4.30pm No Fri 6 June 2-4.30pm If needs be Question Title * 8. Autumn Programme - which dates are you available for? (You'll attend 1 hour a week over 4 weeks, on the same day/time each week. Please say Yes as many options as possible so we can find the best dates for everyone.) Yes No If needs be 3.30-4.30pm on Mondays (3, 10, 17, 24 November) 3.30-4.30pm on Mondays (3, 10, 17, 24 November) Yes 3.30-4.30pm on Mondays (3, 10, 17, 24 November) No 3.30-4.30pm on Mondays (3, 10, 17, 24 November) If needs be 3.30-4.30pm on Tuesdays (14, 11, 18, 25 November) 3.30-4.30pm on Tuesdays (14, 11, 18, 25 November) Yes 3.30-4.30pm on Tuesdays (14, 11, 18, 25 November) No 3.30-4.30pm on Tuesdays (14, 11, 18, 25 November) If needs be 3.30-4.30pm on Wednesdays (5, 12, 19, 26 November) 3.30-4.30pm on Wednesdays (5, 12, 19, 26 November) Yes 3.30-4.30pm on Wednesdays (5, 12, 19, 26 November) No 3.30-4.30pm on Wednesdays (5, 12, 19, 26 November) If needs be 3.30-4.30pm on Thursdays (6, 13, 20, 27 November) 3.30-4.30pm on Thursdays (6, 13, 20, 27 November) Yes 3.30-4.30pm on Thursdays (6, 13, 20, 27 November) No 3.30-4.30pm on Thursdays (6, 13, 20, 27 November) If needs be 3.30-4.30pm on Fridays (7, 14, 21, 28 November) 3.30-4.30pm on Fridays (7, 14, 21, 28 November) Yes 3.30-4.30pm on Fridays (7, 14, 21, 28 November) No 3.30-4.30pm on Fridays (7, 14, 21, 28 November) If needs be Question Title * 9. Summer Programme - which dates are you available for? (You'll attend 1 hour a week over 4 weeks, on the same day/time each week. Please say Yes as many options as possible so we can find the best dates for everyone.) Yes No If needs be 3.30-4.30pm on Mondays (9, 16, 23, 30 June) 3.30-4.30pm on Mondays (9, 16, 23, 30 June) Yes 3.30-4.30pm on Mondays (9, 16, 23, 30 June) No 3.30-4.30pm on Mondays (9, 16, 23, 30 June) If needs be 3.30-4.30pm on Tuesdays (10, 17, 24 June, 1 July) 3.30-4.30pm on Tuesdays (10, 17, 24 June, 1 July) Yes 3.30-4.30pm on Tuesdays (10, 17, 24 June, 1 July) No 3.30-4.30pm on Tuesdays (10, 17, 24 June, 1 July) If needs be 3.30-4.30pm on Wednesdays (11, 18, 25 June, 2 July) 3.30-4.30pm on Wednesdays (11, 18, 25 June, 2 July) Yes 3.30-4.30pm on Wednesdays (11, 18, 25 June, 2 July) No 3.30-4.30pm on Wednesdays (11, 18, 25 June, 2 July) If needs be 3.30-4.30pm on Thursdays (12, 19, 26 June, 3 July) 3.30-4.30pm on Thursdays (12, 19, 26 June, 3 July) Yes 3.30-4.30pm on Thursdays (12, 19, 26 June, 3 July) No 3.30-4.30pm on Thursdays (12, 19, 26 June, 3 July) If needs be Question Title * 10. Please state any dates that you'd need to miss Question Title * 11. Why would you like to take part in the programme? Question Title * 12. Rate your skills on scale of 1-10, where 1 is 'skill not developed' and 10 is 'skill completely developed'. (The We Speak mentor training will help you develop these skills so it's useful to know your assessment of this) 1 2 3 4 5 6 7 8 9 10 Active listening Active listening 1 Active listening 2 Active listening 3 Active listening 4 Active listening 5 Active listening 6 Active listening 7 Active listening 8 Active listening 9 Active listening 10 Asking open questions Asking open questions 1 Asking open questions 2 Asking open questions 3 Asking open questions 4 Asking open questions 5 Asking open questions 6 Asking open questions 7 Asking open questions 8 Asking open questions 9 Asking open questions 10 Giving supportive feedback Giving supportive feedback 1 Giving supportive feedback 2 Giving supportive feedback 3 Giving supportive feedback 4 Giving supportive feedback 5 Giving supportive feedback 6 Giving supportive feedback 7 Giving supportive feedback 8 Giving supportive feedback 9 Giving supportive feedback 10 Helping others build their confidence Helping others build their confidence 1 Helping others build their confidence 2 Helping others build their confidence 3 Helping others build their confidence 4 Helping others build their confidence 5 Helping others build their confidence 6 Helping others build their confidence 7 Helping others build their confidence 8 Helping others build their confidence 9 Helping others build their confidence 10 Question Title * 13. Are you happy for We Speak to email you with updates including social impact of the work you're doing or any We Speak opportunities you may be interested in. We will process your data in accordance with our privacy policy (www.wespeak.co/privacy-policy). You can withdraw consent any time by emailing laura@wespeak.co, or clicking unsubscribe on communications Yes No Question Title * 14. Are you happy for us to use screenshots and videos for promotional purposes? (Tick as appropriate) Yes No Yes, I am happy for you to use screenshots Yes, I am happy for you to use screenshots Yes Yes, I am happy for you to use screenshots No Yes, I am happy for you to use videos Yes, I am happy for you to use videos Yes Yes, I am happy for you to use videos No Yes, I am happy for you to use my name next to quotes Yes, I am happy for you to use my name next to quotes Yes Yes, I am happy for you to use my name next to quotes No Yes, I am happy for you to use my name next to screenshots Yes, I am happy for you to use my name next to screenshots Yes Yes, I am happy for you to use my name next to screenshots No Question Title * 15. In week 3 students submit questions they have about the topic of job interviews. We ask mentors to share their advice about job interviews and anonymously compile all the information for the students. Are you happy for us to share your anonomised advice? Yes No Yes, I am happy for you to share my advice Yes, I am happy for you to share my advice Yes Yes, I am happy for you to share my advice No This might include but is not limited to the right to use them in our printed and online publicity, social media and programme material. We will process your data in line with our privacy policy (www.wespeak.co/privacy-policy). You can withdraw your consent at any time by emailing laura@wespeak.co By submitting this form you are agreeing that We Speak will contact you about the We Speak programme, that we can record sessions for safeguarding and evaluation purposes, that we can take quotations from feedback and sessions to be published anonymously to promote We Speak's work, and you agree that we will process your data in line with our privacy policy (www.wespeak.co/privacy-policy). We will keep information for a reasonable period. Done