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Home —Learning CPD—Mentee Application Form

Mentee Application Form

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Mentoring

Apprenticeships

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Members or Certified Members can apply to be mentored. Selection criteria is based on availability of mentors, location, match and assessed needs. As part of the application process and you will be asked to watch the webinar below and read through the Mentee Handbook. This will help you understand the process, set your objectives and determine your goals.

Before embarking on your mentoring journey, now is a good opportunity to think about what you would like to get out of the experience, whether it is to develop a new skill, a different approach to an element of your role or guidance on working towards the next step in your career. Although, for the sake of clarity, the scheme is not designed to provide any technical training, shadowing or business support.

Please complete the brief questionnaire below to give your Mentor a better understanding of your experience and what you hope to gain from the programme. With a limited number of mentors available your application will be assessed alongside other mentees looking for a match. Please be thoughtful and detailed in your responses .

Our trained mentors give their time freely in order to give back to a profession. If you are selected as a mentee, you will be expected to respond to their communications in a timely manner, schedule meetings that work for both you and your mentor, complete a session record form after each meeting, and be engaged fully for the mentoring term.

The mentoring scheme is currently open for applications, the deadline is 15th November.

Please watch the MRS Mentee Webinar, with copies of the Webinar Mentee Handout and Mentee Handbook to hand for reference. To read the full handbook click here.

Mentee Handbook
Webinar Mentee Handout

Mentee webinar

Please ensure you read and understand the Guidelines of the Mentoring Scheme and confirm the information provided on this form is correct.

* denotes compulsory field

Your Details

Last Name

First Name

Title

Mrs

Miss

Other

Membership No.

Date of birth (dd/mm/yyyy)

Current employment

Company Name(in full)

Job Description

Address

Postcode

Country

Telephone Number(Direct)

Mobile Number(Direct)

Your preferred contact details for the Mentoring Scheme

Yes

As above

If 'No' please give contact details below

Telephone Number

Mobile Number

More about you and your employer

What year did you begin your career in research? (state year)

Current employer activity (please give the company's main activity)

Academic

Boutique / Specialist Agency

Client Organisation

Creative Agency

Data & Business Analytics

Digital / Online Agency

Fieldwork

Government

Management Consultants

Research Agency > £20 million t/over

Research Agency < £20million t/over

Technology Supplier

Third Sector

Viewing Facility

Other

Please specify other

Please complete the following sections with enough details to enable us to find you a suitable match.

Please detail below your work experience to date.

Please detail below your areas of professional expertise, including your methodological and business experience.

Why would you like to have a Mentor? What are you hoping to gain from a mentoring relationship?

What issues/challenges/dilemmas are you currently facing which you would like to address as part of the mentoring scheme?

At MRS we are committed to Diversity and Inclusion. We recognise the importance of matching people that have faced similar challenges or experienced similar environments.

Please state here if you wish for your Mentor to be part of or have experience of a particular community or background.

Please add any further information you feel would be useful for your future mentor to know about you.

Yes

Do you have any previous mentoring experience as a mentee?

If yes please give detail:

Yes

Do you have any previous mentoring experience as a mentor?

If yes please give detail:

What is your ethnic group? (optional*)

Choose one option that best describes your ethnic group or background

White

English/Welsh/Scottish/Northern Irish/British

Irish

Gypsy or Irish Traveller

Any other White background, please describe

Mixed/Multiple ethnic groups

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed/Multiple ethnic background, please describe

Asian/Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background, please describe

Black/ African/Caribbean/Black British

African

Caribbean

Any other Black/African/Caribbean background, please describe

Other ethnic group

Arab

Any other ethnic group, please describe

*This data request is optional but will assist us in our commitment to support inclusivity and diversity within the scheme and additionally to support any mentees making specific matching requests, if circumstances allow.

Mentoring contact preferences

Please indicate how you would prefer to manage your Mentoring Partnership:

Phone

Video conferencing e.g. Skype

Face-to-Face meetings

Frequency of contact

How often would you be prepared to have contact with your mentor?

Once a week

Twice a month

Once a month

Bi-monthly

(Where a mentor is not available in a location nearby, MRS will endeavour to make a pairing via e-mentoring).

Once matched and we have ascertained that there are no conflicts of interest for either party, an extract of your application will be securely sent via file transfer to your mentor to review. We will omit any address details, the only contact details they will receive are those you have listed for the scheme correspondence. If you would like to request any other details are not shared, please advise here:

Request any other details here

Please review the MRS privacy policy

Mentee Declaration

I confirm that, to the best of my knowledge, the information given on this form is correct. I have read and understand the Guidelines of the Mentoring Scheme as detailed in the Mentee Handbook.

MRS agrees to facilitate a mentoring scheme through the voluntary and non-compulsory introduction of parties, and provision of a suggested non obligatory framework within which to conduct a mentoring relationship.

MRS takes reasonable steps to ensure the quality and accuracy of the information provided to the parties during the mentoring scheme but MRS, will not be responsible for the suitability of the introductions or the framework nor of the completeness or accuracy of any information whether provided by MRS or by a third party.

Further, MRS and its employees will not be responsible for the success or otherwise of any mentoring partnership or relationship, nor any loss, damage, cost, expenses or claims for compensation howsoever arising from the performance or non-performance of the mentoring relationship. Except in respect of death or personal injury cause by MRS’s negligence, MRS shall not be liable to any mentor or mentee by reason of any representation (unless fraudulent) for any indirect, special or consequential loss or any other loss however caused under the mentoring scheme.

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