IME | Web form – Young Person

salutation:

First name: ^*

Last name: ^*

Email: ^*

Phone:

Which is the city closest to you? :

Which is the city closest to you? (Please fill if you couldn't find your city above):

ZIP:

Country: ^*

Street: ^*

Gender:

D.O.B: ^*

Nationality:

Skype Details:

Work status:

Education background :

Have you got a criminal record? If yes, please provide details::

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?: ^*

Time keeping skills:

Organisation rating:

Ability to complete work on time:

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 : ^*

Would you describe yourself as: ^*

How do you tend to respond to constructive criticism?: ^*

How do you rate your Reading skills:: ^*

How do you rate your Writing skills:: ^*

How do you rate your Listening skills:: ^*

How do you rate your Concentration:: ^*

How do you prefer to learn:: ^*

Have you ever had any discipline problems at school or in the workplace? If yes, please provide details:: ^*

Mentor Gender Preference:

Concerns about the program:

Referee first name: ^*

Referee last name: ^*

Referee email:

Referee phone:

Are you over 24?: ^*

Which platfrom have you used to fill this form?: ^*

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Web form – Young Person

Web form – Young Person

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