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Saturday, 4 February 2012
Application form
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1. About you and your company

Please fill in all fields below

If you are unsure about your answer to any of the eligibility questions, please call 0131 221 3197 or email info@realisementoring.org.uk

First Name:
 
Surname:
 
Job Title
 
Organisation Name:
 
Address:
Telephone:
 
Email:
 
Website
 

Activities

What are your organisation’s main areas of activity?

Eligibility Criteria

Is your organisation:

   
   
   
   

Financial Information

What was your organisation’s total income in the last financial year?


 

Grant funding

Contract / trading income

Other income (please specify)

What proportion of your organisation’s income in the last financial year was:

Grant funding

Contract / trading income

Other income (please specify)

Legal Status

   
   
   
   
   
   

Charity Number

(if applicable)

Human Resources

No. of Full-time Staff


 

No. of Part-time Staff


 

No. of Volunteers on Board/Committee


 

No of Other Volunteers


 

Overview of Your Organisation

Please provide some details on the background, social aims and services of your organisation

About You

What is your role in the organisation?

What are the main areas in which you would like support from a mentor?

What are you looking for in a mentor in terms of experience, knowledge and skills?

Is there anything else relating to your goals or requirements that might help us match you with the best mentor for you?

.

Data Protection

Realise Mentoring will use the information, which you provide on this form, to assess your requirements within the Realise Mentoring programme for third sector organisations. We would like to keep a record of your information in case other opportunities or information in relation to our services arise in the future which we think may interest you.

If you do not wish us to do this, or contact you about these then please tick this box.

We will use your information for personnel administration and management purposes, including carrying out appropriate checks, evaluation and marketing. We may need to share your information for these purposes with our partners, associates, mentors, agents and the Scottish Government. We would also like to use your information to help us identify services, which associated companies, the Scottish Enterprise Network or Business Mentoring may offer and which may be of interest to you.

If you do not want to be contacted (either by mail, telephone or e-mail) with details of services
please tick this box.

You have a right to ask for a copy of the information we hold on you and which is subject to the Data Protection Act 1998,(for which we may make a small charge) and to correct any inaccuracies in your information.


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Click this button to submit the application form