We Speak Mentor registration form - Autumn 2022
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Email *
First name *
Last name *
Job title *
Which team are you in at Wavemaker? *
Mentor training - which dates are you available for? All sessions take place 2-4.30pm(Please say Yes to as many options as possible as we'll choose the most popular ones)

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Yes
No
Wed 12 Oct 2-4.30pm
Thur 13 Oct 2-4.30pm
Fri 14 Oct 2-4.30pm
Mon 17 Oct 2-4.30pm
Tues 18 Oct 2-4.30pm
Wed 19 Oct 2-4.30pm
Mon 24 Oct 2-4.30pm
Tues 25 Oct 2-4.30pm
Wed 26 Oct 2-4.30pm
Thur 27 Oct 2-4.30pm
Fri Oct 28 2-4.30pm
Programme - are you available on the following dates?
*
Yes
No
3.30-4.30pm on Tuesdays (8, 15, 22, 29 Nov)
Are there any dates you'd need to miss?
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
Do you have an enhanced DBS check?
*
If Yes, and you have the number and date of the certificate to hand please add it below
If No, are you happy for We Speak to apply for an enhanced DBS check for you? (You'll need this to take part in the programme, here's more info about DBS checks: http://bit.ly/3igqxHj)
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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
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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 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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