First name
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Last name
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Email address
*
Phone number
*
Date of birth
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Address
Postcode
*
Local Authority
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How long have you lived in London?
Less than a year
1-2 years
3-5 years
5-10 years
10-15 years
Born and bred
Other
Length of time willing to travel
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Up to 15 minutes
Up to 30 minutes
Up to 45 minutes
Occupation
*
Employer
*
Would your organisation be interested in working with The Kids Network?
*
Yes
No
Help us find dedicated mentors through your organisation or form a partnership with us
Twitter handle
Gender
*
Female
Male
Trans
Rather not say
Ethnic Background
*
White: 1. English/Welsh/Scottish/Northern Irish/British
White: 2. Irish
White: 3. Gypsy or Irish Traveller
White: Any other White background
Mixed: 5. White and Black Caribbean
Mixed: 6. White and Black African
Mixed: 7. White and Asian
Mixed: Any other Mixed
Asian/Asian British: 9. Indian
Asian/Asian British: 10. Pakistani
Asian/Asian British: 11. Bangladeshi
Asian/Asian British: 12. Chinese
Asian/Asian British: 13. Any other Asian background
Black/African/Caribbean/Black British: 14. African
Black/African/Caribbean/Black British: 15. Caribbean
Black/African/Caribbean/Black British: 16. Any other Black/African/Caribbean background
Other ethnic group: 17. Arab
Other ethnic group: 18. Any other ethnic group
How did you hear about the role?
Search Engine
Team London
Charity Job
Volunteer Centre
Other Recruitment Website
Social Media
Leaflet
Newsletter
Personal Referral
Who was your role model and why?
*
Why do you want to be a Mentor?
*
Please outline any previous experience you have working with children
*
What skills, experiences and values would you bring to The Kids Network as a Mentor?
*
Tell us something fun about you
*
Can you commit to Mentoring for 2-3 hours weekly for a full year minimum?
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Yes
No
In the near future
Which of the following set of training sessions are you able to attend?
Saturday 6th July (all day) and Wednesday 10th July (6:00-8:30pm)
Saturday 10th August (all day) and Tuesday 20th August (6:00-8:30pm)
None of the above
You need to attend one set of training sessions.
Do you know someone who would be interested in becoming a Mentor to a little Londoner? Recommend us!
Yes
No
Maybe later
Please confirm that you are happy for us to contact you with information about the mentoring opportunity and next steps
*
Yes
No
We would love to add you to our newsletter! Please confirm you are happy for us to share our news and other exciting opportunities
*
Yes
No
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