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AHUA Mentor Application Form 2025
Deadline for applications: 20 December 2024
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" indicates required fields
Personal Details
I can confirm I am an AHUA Member
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Yes
If you are not a member of the AHUA, please fill out the Mentor form on the Reciprocal Mentoring Programme webpage.
Title
First Name
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Last/ Family Name
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Preferred Name
Job Title
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Institution
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Email
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Phone
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Application questions
What would you like to achieve from participating in the AHUA reciprocal mentoring programme?
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What experience do you bring to the mentoring programme that you would like to share with others?
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Briefly describe your experience of mentoring and supporting others in their development?
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Diversity
Ethnicity
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Arab/Arab British
Asian/Asian British – Bangladeshi
Chinese/Chinese British
Asian/Asian British – Indian
Asian/Asian British – Pakistani
Asian/Asian British – Other
Black/Black British – African
Black/Black British – Caribbean
Black/Black British – Other
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Mixed – Other
White – British
White – Gypsy/Traveller (including Roma)
White – Polish
White – Other (including non-British White identities)
Prefer not to answer
Other ethnic background
I don’t know my ethnicity
Age
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20-29
30-39
40-49
50-59
60-69
Prefer not to say
Gender identity?
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Female
Male
Non-binary
Prefer to self-describe
Prefer not to answer
If you would prefer to self-describe your gender, please let us know in the comment box below
Confirmation
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I can confirm I can attend all the session dates as stated below:
AHUA Mentor training, Thursday 30th January 2025, full day, location Birmingham
Meet your Mentor session, online, 6 February 2025
Mid point check-in session, online, 18 June 2025
Cancellations and Data Protection
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Cancellations:
• All cancellations must be made in writing (post or email) to the AHUA.
• The AHUA will not be responsible for any expense incurred in the lead up to any element of the Programme which a participant is required to attend. Should that element be cancelled the AHUA will not reimburse for any expense incurred.
• Please visit the AHUA website for the full Terms and Conditions including the cancellation policy.
• Please contact info@ahua.ac.uk to cancel your place on the programme.
Please indicate that you agree to the AHUA storing your booking details electronically in order: to process your application; to invoice; to send you information about this Programme including a list of delegates with their email addresses; and for statistical purposes. Your information will not be used for any other purpose nor shared with third parties outside the Programme participants.
I agree to the above.
Signature
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Secretaries Programme
Application deadline: Thursday 28th November
Open to staff with governance responsibilities;
Focuses specifically on transitioning from technical governance expert to strategic adviser, developing the soft skills and power to encourage senior colleagues
Find out more
