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Home
About
Courses
Member Access
Online Courses
Accredited Management & Leadership Course
Nationally Accredited Career Coaching
Mini MBA Peak Performance & Productivity
In-House Training
Impactful Presentations Workshop
21st Century Leadership Skills
Mentoring That Makes a Difference
Additional support
Additional support
Additional feedback
Women In Business
Courses For Good
Supporting Charities and CICs
Social Goals
IME Mentoring Programme
Mentee
Mentor
Your Certificate
Webinars
Our Webinars
Upcoming Webinars
Advance Planning
Contact Us
Web form – Young Person
Web form – Young Person
salutation:
Mr.
Ms.
Mrs.
Dr.
Prof.
First name:
*
Last name:
*
Email:
*
Phone:
Which is the city closest to you? :
London
Glasgow
Sheffield
Leicester
Other – add text box
Which is the city closest to you? (Please fill if you couldn't find your city above):
ZIP:
Country:
*
Street:
*
Gender:
Male
Female
D.O.B:
*
Nationality:
Skype Details:
Work status:
University student or graduate
Not in education, training or employment
Other
Education background :
Have you got a criminal record? If yes, please provide details::
Yes
No
Criminal Record Details::
Please tell us why you want to participate in the Inspire, Motivate and Engage mentoring programme?:
*
What do you know about this programme?:
*
What are your career aspiration?:
*
Please indicate your three main values:
*
Please indicate your three main strengths:
*
Please indicate your three main ambitions:
*
Please indicate your three main weaknesses:
*
The Inspire, Motivate and Engage mentoring programme requires a time commitment of one hour per week for approximately six months. Are you prepared to dedicate the required time to complete the programme?:
*
Yes
No
Time keeping skills:
1
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3
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5
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9
10
Organisation rating:
1
2
3
4
5
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9
10
Ability to complete work on time:
1
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3
4
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9
10
Describe what personal accountability means to you:
*
Tell us about three achievements you are particularly proud of?:
*
Where do you see yourself in 10 years?:
*
Is there a particular industry you would like to work in?:
*
Please select which of the following best describes the type of role you are interested in :
*
Communications
Branding
PR
Media
Marketing
Social Marketing
Finance
Engineering
HR
Government-Public Sector
Healthcare
Insurance
Events
Sales
Customer Service
PA-Office Manager
IT
Web Design
Design
Logistics
Project Management
Hospitality
Automotive
Pharmaceuticals
Retail
Purchasing
Other
Would you describe yourself as:
*
Shy
Outgoing
Passive
Agressive
Mix of above
How do you tend to respond to constructive criticism?:
*
Lose self confidence
Take the feedback and try learn
Get defensive
How do you rate your Reading skills::
*
1
2
3
4
5
6
7
8
9
10
How do you rate your Writing skills::
*
1
2
3
4
5
6
7
8
9
10
How do you rate your Listening skills::
*
1
2
3
4
5
6
7
8
9
10
How do you rate your Concentration::
*
1
2
3
4
5
6
7
8
9
10
How do you prefer to learn::
*
By doing
Visually
Researching
Assignments
Talking
Have you ever had any discipline problems at school or in the workplace? If yes, please provide details::
*
Mentor Gender Preference:
Male
Female
No preference
Concerns about the program:
Referee first name:
*
Referee last name:
*
Referee email:
Referee phone:
Are you over 24?:
*
Yes
No
Which platfrom have you used to fill this form?:
*
milkround.com
inspiremotivateandengage.com
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