Questions marked with an asterisk (*) are mandatory.

	1. * Name

	2. * Are you 18 years of age or over?
	YesNo

	3. * Male/Female

	4. * Contact Number

	5. * Email Address

	6. * Location (closest city):

	7. * Please tell us which ementoring project you are interested in being involved in?
	Bright-Links (supporting progression to university) Bright Journals (medicine/healthcare focus) Confident Futures (supporting vulnerable young people into employment and training) Big Bang Blogs (physics focus) Talking uni (progression to university with focus on budgeting)

	8. * Why would you like to have an ementee?

	9. * Are you currently studying or working?
	Studying Working Other, please specify

	10. * If you are studying, what academic subject are you studying?

	11. * If you are working, what is your role and in which sector do you work?

	12. * Have you got any experience of mentoring?

	13. * Are you committed to spending 30 minutes per week for up to 6 months to support your mentee online?
	YesNo

	14. * Have you been CRB checked in the last three years?
	YesNo

	Thank you for your interest in volunteering with BrightsideUNIAID. PLEASE NOTE: All programmes are subject to mentors meeting the project requirements and a place is not guaranteed.