Application for Business Mentoring
NOTE: the Cornerstone service is available only to businesses within Somerset
Contact Details
Business NameOwner’s Name
Contact Address
Post Code
Contact Telephone
Mobile Telephone
Email Address
Description of Business (If not yet trading use forecasts / targets, or leave blank)
(Anticipated) Business Start Date / Current / Forecast Annual TurnoverNumber of Employees (if any) / Legal Status (eg Sole Trader; Limited; CIC etc)
Please describe what your business does / will do.
Mentoring Aims
Please briefly describe what you would like the mentoring to help you to achieve.Business Owner Signature: ……………………………………………… Date: …………………………………………………..
NOTE: This signature confirms acceptance of our Conditions of Service, overleaf.
On completion, post or email to address below. This form may also be downloaded from our website.
Conditions of Service
By signing this Application Form, Business Owner understands and accepts:
- The scope of the Cornerstone mentoring service as defined on the Cornerstone website,
- The Code of Conduct for Cornerstone mentors as described on the Cornerstone website.
- All business decisions shall be entirely the responsibility of the Business Owner.
- Either party may terminate the mentoring project at any time.
- All aspects of the mentoring project shall be kept confidential by both parties.
- Business Owner enters into this mentoring project at his / her own risk and will be responsible for the suitability and appropriateness of the support provided before implementing any related actions or decisions.
- Business Owner unconditionally and irrevocably waives any rights of action it may have against Cornerstone in relation to claims for loss or damage incurred as a direct or indirect consequence of the mentoring support provided by Cornerstone, except as required by Tort.
- Business Owner is advised to take independent financial, legal or other appropriate professional advice before acting on any, business-critical courses of action identified through the mentoring process.
- All information held by Cornerstone will be processed in accordance with the provisions of the Data Protection Act 1998. Mentee has the right to ask for a copy of the personal information held about him / her / the business and to correct any inaccuracies.
- Any complaints about the Cornerstone mentoring service should be by email to , or by mail to the registered address below.
Cornerstone Enterprise Support Limited, Registration Number 08958567, Registered Office: 4 Manor Mews, Staplegrove, Taunton, Somerset TA2 6EF. Tel 01823 617518, email: . Website: