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NBWL Mentor Quick Match Form
This application form is designed to ensure that our mentors are not only qualified and aligned with the program’s philosophy but also responsive to the diverse needs and goals of the mentees. Thank you for supporting Black women leaders!
For any questions or further information, please contact:
[email protected]
Personal Information
First name & Surname:
(required)
This field is required
Preferred Name/Nickname:
Email address:
(required)
Please enter your email address
Please enter a valid email address
Phone Number
(required)
This field is required
Location in the United Kingdom (City, Region)
(required)
This field is required
Current Occupation and Company Name
(required)
This field is required
LinkedIn Profile URL
Brief Career Summary (100 words maximum)
(required)
This field is required
Do you work in the Women’s Sector?
(required)
No
Yes
How would you describe your Ethnicity?
(required)
Black - African
Black - British
Black - Caribbean
Black - Asian
Black - Caribbean and White
Black - African and White
Black - Mixed Heritage (other)
Black - Other
Please choose your age group
(required)
Please select a value
-- Please Select --
19 and under
20–29
30–39
40-49
50-59
60-69
70-79
80+
Your personal information will remain confidential and will be used solely for the purpose of this programme. You can find out more information in WRC’s Privacy Policy on our website at wrc.org.uk/privacy-policy
Section 1. Expertise & Mentoring Experience
Key Strengths & Expertise (Briefly list 2-3 key strengths you bring to mentoring)
(required)
This field is required
Mentoring Style (Describe your mentoring approach in 1-2 sentences)
(required)
This field is required
Past Mentoring Experience (Briefly share your past mentoring experience and any challenges you’ve faced)
(required)
This field is required
Section 2. Values & Diversity
Commitment to Diversity (How have your experiences or background shaped your approach to mentoring in diverse environments?)
(required)
This field is required
Motivation for Mentoring (Why are you interested in mentoring with NBWL?)
(required)
This field is required
Section 3. Expectations (Final Section)
What do you hope to gain from this mentoring experience?
(required)
This field is required
What do you expect from your mentee in return?
(required)
This field is required
Join the NBWL Mailing List to hear about events, news and opportunities
(required)
Yes
No
Please review your responses before submitting.
Send your application and we will match you with a mentee aligned with your skills and preferences.
Thank you for your interest in becoming a mentor with the NBWL Mentoring Programme. Your expertise and guidance are invaluable to nurturing the next generation of leaders.
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