GCS Mutual Mentoring Profiles
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1.
Full name:
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2.
What government department or ALB do you work for?
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3.
What is your role/job title?
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4.
What is your location?
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5.
What is your grade?
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AIO or equivalent
IO or equivalent
SIO or equivalent
Grade 7
Grade 6
SCS1
SCS 2
Other (please specify):
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6.
Do you identify with any of the following:
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BAME (black, Asian and minority ethnic)
Lower socio-economic background
LGBTQ (lesbian, gay, bisexual, transexual, queer)
Disability
Female
Care leaver
Other (please specify):
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7.
Are you a:
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Part-time member of staff
Job-share member of staff
None of the above
Comments:
8.
Do you now or have you ever experienced any mental health issues?
Yes
No
Please provide further detail:
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9.
What is your department's diversity and inclusion priority (if known)?
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10.
Do you have a personal priority for diversity and inclusion in the workplace?
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11.
Please rank your confidence in championing the following (5- most confident, 1- least confident)
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1
2
3
4
5
BAME (black, Asian or minority ethnic)
BAME (black, Asian or minority ethnic) 1
BAME (black, Asian or minority ethnic) 2
BAME (black, Asian or minority ethnic) 3
BAME (black, Asian or minority ethnic) 4
BAME (black, Asian or minority ethnic) 5
Lower socio-economic background
Lower socio-economic background 1
Lower socio-economic background 2
Lower socio-economic background 3
Lower socio-economic background 4
Lower socio-economic background 5
LGBTQ (lesbian, gay, bisexual, transexual, queer)
LGBTQ (lesbian, gay, bisexual, transexual, queer) 1
LGBTQ (lesbian, gay, bisexual, transexual, queer) 2
LGBTQ (lesbian, gay, bisexual, transexual, queer) 3
LGBTQ (lesbian, gay, bisexual, transexual, queer) 4
LGBTQ (lesbian, gay, bisexual, transexual, queer) 5
Disability
Disability 1
Disability 2
Disability 3
Disability 4
Disability 5
Gender
Gender 1
Gender 2
Gender 3
Gender 4
Gender 5
Part-time work
Part-time work 1
Part-time work 2
Part-time work 3
Part-time work 4
Part-time work 5
Job share
Job share 1
Job share 2
Job share 3
Job share 4
Job share 5
Mental health
Mental health 1
Mental health 2
Mental health 3
Mental health 4
Mental health 5
Apprenticeship
Apprenticeship 1
Apprenticeship 2
Apprenticeship 3
Apprenticeship 4
Apprenticeship 5
Regional/remote workers
Regional/remote workers 1
Regional/remote workers 2
Regional/remote workers 3
Regional/remote workers 4
Regional/remote workers 5
Ageing workforce
Ageing workforce 1
Ageing workforce 2
Ageing workforce 3
Ageing workforce 4
Ageing workforce 5
Care leavers
Care leavers 1
Care leavers 2
Care leavers 3
Care leavers 4
Care leavers 5
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12.
Do you intend to apply for promotion or a development opportunity (e.g. a secondment or training course) in the near future?
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Yes
No
If your answer to the above was "no", why not?
13.
Please specify your preferred mode of contact and contact details.
14.
Please let us know if you have any further comments or ideas:
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