Hounslow’s Promise Mentoring SchemeMentor Application

Thank you for taking the time to complete this form. We are creating a database of mentors and as participants are accepted onto the Mentoring Programme, we will suggest matching for mentors and mentees as close as possible to preferences expressed by both sides.

This will be the first year of this Mentoring Programme. The closing date for applications for mentors is noon on the18thDecember 2017. We are planning to hold an Induction Day and Mentor training for successful applicants in late January 2018 at Cranford Community College, which will provide the first opportunity for mentors to meet their mentees. The formal mentoring relationship will continue from this point until the end of November 2018.

The programme will include quarterly events for mentees with mentors invited for some visits if they wish to join. The programme team will be available to support as needed. It is expected that for the first six months meetings will take place in school but timings can be flexible and by mutual agreement between mentor and mentee.

For one-to-one mentoring relationships, we are looking for mentors who can be available for around 2 hours a month, with a meeting or contact fortnightly in the first six months, and monthly for the remaining four months.

You can apply also to be a group mentor. This would be a commitment of 2 hours a quarter to include possible masterclasses, talks, Q&A or hosting a visit at your workplace for a small group of pupils.

Please complete the form below. This information will tell us about your availability, experience and expertise, and will be used to best match you with participants with particular needs and experiences. Where this best suits the need of the participant, we may use a ‘multiple mentors’ approach, and will match mentees to additional supporter mentors targeted at their specific needs and aspirations.

Title
First name
Surname
Organisation name (if applicable)
Position
Contact address
Office staff contact
(if applicable)
Telephone
Mobile
E-mail
  1. Please provide a short biography highlighting your current role and background. You may want to draw on how your current role and background reflects areas in the Young People’s Skills Development Framework below. (max 150- 200 words)

  1. From the Young People’sSkills Development Framework below, in which areas would you be most interested in providing mentoring support?
Developing your goals
Leading people and projects
Managing energy and multiple demands
Growing your confidence
Starting a business
Core Skills

Any additional comment:
  1. What motivates you to want to mentor young people in Hounslow? (max 100-150 words)

  1. Have you been involved in mentoring before? What do you feel worked particularly well, and what would you want to be different this time? What would be most helpful to mentors to cover in an induction?

  1. Time Commitment
For one-to-one mentoring, we are looking for mentors who can be available for around 2 hours a month, with a meeting or contact fortnightly in the first six months, and monthly for the remaining four months.
Applying to be a group mentor in addition or instead of 1:1 mentoring may involve more flexibility and possible masterclasses, talks, Q&A or hosting a visit at your workplace for a small group of pupils.For this we would be asking availability of 2 hours quarterly.
Please tick all you are able to commit to:
1:1 mentoring – up to 2 hours a month at a school in Hounslow
Group mentor – one event a Quarter in Hounslow or your workplace
Successful applicants for the Mentor or Group Mentor roles will be invited to an Induction Day and Mentor training which will be held on a Thursday or Friday afternoon at Cranford Community College in late January 2018.
Acceptance on the Programme is subject to a successful DBS check in line with Hounslow Promise’s Safeguarding Policy. If you have any questions about this, please do get in touch.
  1. How did you find out about Hounslow’s Promise?
Introduced to Hounslow’s Promise by… (please specify) ______
Picked up a leaflet (please specify where)
______
Online ______
Other (please specify) ______
  1. Please provide details of two references from your workplace or the community who we may contact.
Referee 1
Name:
Title / Organisation
Relationship to you:
Address:
Email:
Tel No:
Referee 2:
Name:
Title / Organisation
Relationship to you:
Address:
Email:
Tel No:
  1. Are there any monthsin 2018 when you will have limited availability?

Data protection

The Hounslow’s PromiseMentoring Programme team will only use your contact details to send you information relating to the Mentoring Scheme and to request feedback.

Your contact details will not be shared with anyone other than the Hounslow’s Promise team.

Except in connection with the activities described above or where required to do so by law, we will not disclose your data to third parties without your permission.

Please return your form along with a completed Diversity Monitoring form to or the attention of Lucy Edmunds by noon on the18th December 2017.

If you would like to speak to someone about the Hounslow’s Promise Mentoring Programme, please do not hesitate to email Lucy Edmunds on

Thank you for your interest and support!

© Hounslow’s Promise1