Mentoring Application Form

A sense of fulfilment and purpose

Successful mentor-mentee relationships have numerous benefits for both parties. For the mentee, mentoring can provide access to new perspectives, knowledge, and skills. For the mentor, mentoring can be a rewarding experience that allows them to share their knowledge and expertise, and to give back to their community.

I am applying to participate in the role of:*

We request that you complete this form as fully as possible. The information you provide will help us to match you with a mentee who has the development needs and preferences that match your skills and experiences.

1. Please give your permission for your personal details to be shared internally and confidentially with the PI Mentoring Committee.*
2. Are you prepared and do you have the capacity to commit a minimum of 6 hours over 8 months for this Mentoring programme?
6. Have you experienced Mentoring before?*

Applicant declaration

I acknowledge that any personal information supplied to PI is done so voluntarily to facilitate the processing of this application. I furthermore acknowledge that the information provided by me is to the best of my knowledge both true and correct, and I understand that any incorrect or inaccurate information or documentation submitted may adversely affect the manner in which PI processes my application to become a participant in a Mentoring programme.


The information you are voluntarily providing will be used to help assist us in achieving our Mentorship programme goals for PI. The information collected will be used in accordance with GDPR and will only be shared with the PI Mentorship Committee.

Please tick the box below to accept the declaration and disclaimer as stated above.*