Mentee registration form

Please complete this form with as much detail as possible. The information submitted will be used to identify the most suitable mentor for you. If you need any help completing this, please contact the Scheme Administrator at

By submitting this form you agree and confirm that:

  • If you are assigned a mentor, you agree to being committed to the programme including the engagement in a minimum of at least one session per month over a six month period.
  • You have discussed potential participation in this scheme with your organisation.