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Diversity Mentoring Scheme Application 2018/2019
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1.
Question 1.
Student First Name
Required
- Required.
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2.
Question 2.
Student Family Name
Required
- Required.
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3.
Question 3.
Student ID number
Required
- Required.
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4.
Question 4.
Current Part
Required
- Required.
Part A
Part B
Part C
Part D
Part F
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5.
Question 5.
Have you secured a placement?
Required
- Required.
Yes
No
No - I am a part A student
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6.
Question 6.
Do you require any additional support e.g. due to a disability, to take part in the Diversity Mentoring Scheme?
Required
- Required.
Yes
No
If you answered yes, please provide examples of information or support you would like:
This is required
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7.
Question 7.
Please reflect and tell us why you are applying to participate in the Diversity Mentoring Scheme (minimum 100 words - maximum 200 words)
Required
- Required.
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8.
Question 8.
Please explain how you think being given this opportunity will help your personal and professional development? (minimum 100 words - maximum 200 words) NOTE: The answers you give to questions 7 and 8 will be key to the selection process, so please provide full and well thought out answers.
Required
- Required.
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9.
Question 9.
Please state 3 goals or topics you would like help from your mentor with
Required
- Required.
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10.
Question 10.
Should you be successful at application form stage, you must attend a training session to be able to take part in the scheme. Please select which dates you can attend from the below options. (You can select all dates if you are available for them; you will only be invited to the training session once.)
Required
- Required.
Monday 18th February-12-1.30pm
Wednesday 20th February- 1.30-3pm
Thursday 21st February – 5.30-7pm