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Mentoring Enquiry Form
School Years 3-11
This form is to be completed by a parent/guardian.
Click here to find out more about mentoring -
https://drive.google.com/file/d/1IPDhYrZHHYRO3E5ZmH6gQUcf9BbjXKo1/view?usp=sharing
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* Indicates required question
Full Name (Young person)
*
Your answer
Full Name (Parent/Guardian)
*
Your answer
I have already completed a basic consent form and checked all the information is up to date
*
Yes
No
If you have not completed a basic consent form, please copy and paste the link below into a browser
https://forms.gle/DF5NcCynxqxEcp8QA
Is there a specific issue you or your young person would like to focus on? (Select all that apply)
*
Bullying
Family Life
Friendships
School
Grief
LGBT+
Health
Mental Health
Christian Life
Self-esteem
Self-image
N/a
Other:
Required
Is there anything you or your young person would like the mentor to know before agreeing to sessions?
Your answer
Group Mentoring ONLY - If your young person is attending mentoring with another young person, please name the OTHER young person below to consent:
Your answer
Thank you for filling in this form. Don't forget to click submit!
Zoe will contact you once she has received your form. Please contact her if she has not reached out after a couple of daysÂ
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This form was created inside of St Andrew's Church, Stapleford.
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