Mentoring 4 Screen - Application Form

Application Form for Mentees (you want to be mentored)


Before completing this form you’ll find it useful to read through the information on our Mentoring 4 Screen website page.  It’ll also tell you if you’re eligible to apply.

It will take you 10 minutes maximum to complete this form. Because you can’t save your answers part way through please make sure you have time to complete and submit it

If you need more information or support to complete this form, the programme facilitator, Anna Roberts will be more than happy to help you. Please email her at: aroberts@bectu.org.uk 

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Name *
Email: *
Mobile Number *
Are you a member of Bectu? *
If a member of another union, please specify here.
Location (local authority e.g. Gwynedd, Rhondda Cynon Taf etc.) *
What is your current role in TV and/or film? *
Do you work in?
Clear selection
Please briefly list some of your responsibilities, roles and skills in your current role (up to 50 words) *
What would you like to achieve through the mentoring? (approx. 100 words / 3-5 lines) *
Please let us know in confidence if you have any access requirements e.g. due to a disability e.g. hearing/sight impairment to enable us to make reasonable adjustments *
Employment status (this programme mainly covers freelancers but can include employees in smaller companies). *
Required
Please tick the box(es) that applies to you *
Required
In what field/role would you like mentoring?               What role are you aiming for?                                                  These are some of the areas where we have experienced mentors but if you work in a different area of film or TV we’ll aim to find you a suitable mentor (use the OTHER box to tell us) *
Required
Tell us a bit about yourself to help us match you to a mentor (max 100 words/3 to 5 sentences) *
Do you belong to any of these under-represented groups in this sector? *
Required
If so, you’re welcome to tell us here in confidence about challenges and barriers you have faced or are facing.
Are you a Welsh speaker? *
Would you like to take up the option of being mentored in Welsh if this was possible? We can’t guarantee that we can provide a suitable mentor who is Welsh speaking. *
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