We Speak Mentor sign up form - Summer 2023
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First name *
Last name *
Email *
Job title *
Company *
Training availability
Mentor training - which dates are you available for? Please say Yes to as many options as possible so we can find the best dates for everyone. 

 *
Yes
No
If needs be
Tues 23 May 2-4.30pm
Wed 24 May 2-4.30pm
Thurs 25 May 2-4.30pm
Fri 26 May 2-4.30pm
Tues 30 May 2-4.30pm
Wed 31 May 2-4.30pm
Thur 1 June 2-4.30pm
Fri 2 June 2-4.30pm
Mon 5 June 2-4.30pm
Tues 6 June 2-4.30pm
Wed 7 June 2-4.30pm
Thurs 8 June 2-4.30pm
Fri 9 June 2-4.30pm
Programme availability
Which dates are you available for the programme? Please say Yes to as many options as possible so we can find the best dates for everyone. 
 *
Yes
No
If needs be
3.30-4.30pm on Mondays (12, 19, 26 June, 3 July)
5.30-6.30pm on Mondays (12, 19, 26 June, 3 July)
3.30-4.30pm on Tuesdays (13, 20, 27 June, 4 July)
5.30-6.30pm on Tuesdays (13, 20, 27 June, 4 July)
3.30-4.30pm on Wednesdays (14, 21, 28 June, 5 July)
5.30-6.30pm on Wednesdays (14, 21, 28 June, 5 July)
3.30-4.30pm on Thursdays (15, 22, 29 June, 6 July)
5.30-6.30pm on Thursdays (15, 22, 29 June, 6 July)
3.30-4.30pm on Fridays (16, 23, 30 June, 7 July)
Are there any dates you'd need to miss?
If the dates don't work for you or we run out of mentor places for the Summer programme, would you likely be available in November for the Autumn 2023 programme? (Dates TBC, 3.30-4.30pm or 5.30-6.30pm)
Clear selection
If you had the choice, would you prefer your sessions with the students to be 1 or 1.5 hours?
Clear selection
Why would you like to take part in the programme?
 *
Rate your skills on scale of 1-10, where 1 is 'skill not developed' and 10 is 'skill completely developed'. (The We Speak mentor training will help you develop these skills so it's useful to know your assessment of this)
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1
2
3
4
5
6
7
8
9
10
Active listening
Asking open questions
Giving supportive feedback
Helping others build confidence
Are you happy for us to use screenshots and videos for promotional purposes? This might include but is not limited to the right to use them in our printed and online publicity, social media and programme material. We will process your data in line with our privacy policy (www.wespeak.co/privacy-policy). You can withdraw your consent at any time by emailing laura@wespeak.co 
 *
Required
Are you happy for We Speak to email you with updates including social impact of the work you're doing or any We Speak opportunities you may be interested in. We will process your data in accordance with our privacy policy (www.wespeak.co/privacy-policy). You can withdraw consent any time by emailing laura@wespeak.co, or clicking unsubscribe on communications
 *
Thank you for registering to be a We Speak mentor!
By submitting this form you are agreeing that We Speak will contact you about the We Speak Employment programme, that we can record sessions for safeguarding and evaluation purposes, that we can take quotations from feedback and sessions to be published anonymously (ie without your name) to promote We Speak's work, and you agree that we will process your data in line with our privacy policy (www.wespeak.co/privacy-policy). We will keep information for a reasonable period.
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