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Diversi-tees

Mentee Application Form 2011/12Before completing the form please ensure that you have read the information aboutthe scheme on: http://www.tees.ac.uk/depts/careers/mentoring.cfm

ELIGIBILITYThe scheme is open to undergraduate and postgraduate students who are:

UK/EU student (or with unrestricted right to live and work in UK)(Please confirm you meet this criteria): (You may be asked to produce further information about your residency status at interview)

AND

You meet at least ONE of the critera below (select all that apply to you): Black and minority ethnic (BME) Mature student ( 21 or over on entry to undergraduate study ) Disabled student

The scheme is open to undergraduate and postgraduate students who meet theabove criteria

PERSONAL DETAILS

First Name: syed Surname: ahmed

Term Address:(includepostcode)

29-31 park road, hartlepool ts247pw

Telephone: Mobile: 07401973466

StudentNumber:

j9127456 Date of birth:

09/10/1983

Universityemail:

[email protected]

Personal email: [email protected]

Title of CURRENT degree/postgraduate course:

Year of study: First Second Final Postgraduate

Postgraduates only: Title of undergraduate course: BscAge on entry to undergraduate course: economic, statistics,mathematics

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http://www.tees.ac.uk/depts/careers/mentoring.cfmhttp://www.tees.ac.uk/depts/careers/mentoring.cfm


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Gender : Male: Female:

Do you have your own means of transport? Yes No

Do you have a disability? Yes No

If Yespleasespecify:

Do you require any special assistance or facilities e.g. interpreter, wheelchair access? Yes No

If yespleasespecify:

Do you permit us to share any information about your disability requirementswith your mentor, for support reasons only? Yes No

CAREER INTERESTSIn order to help us to match you to a mentor please indicate up to three career areas/organisations in which you are most interested e.g. Finance, HR, IT,General Management, Law-related, Marketing, Social Work, Local Government,Police, Prison Service etc)

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2 Management

3 Business

What help do you think you might need to achieve your career goals? Pleasetick any of the following areas on which you would like advice/support:

Insight into specific

career/company

Career planning and

professional developmentCVs and Applications Interview techniquesSelf presentation skills Communication SkillsTime management andprioritising deadlines

Networking opportunities

Work shadowing/experience Equality and diversity issues

Other:

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P ERSONAL MOTIVATION

Your comments will be used in the selection and matching process. Please give asmuch information as possible to demonstrate your commitment and motivation:

(A) Why do you wish to be involved in the Diversi-tees MentoringScheme? this is a great opportunity to learn and use your knowledgeand skills , you have got from your education and past experience.

(B) What do you hope to gain by participating?experince and understanding of different culture

(C) What makes you an ideal candidate for the Scheme?i am young and self learner and my education and past experiencemake me to more appopriate candidate.

How did you findout about Diversi-tees?

university websites

Ethnic Origin: (Please tick box which best describes your ethnic origin)

Bangladeshi Black African Black CaribbeanBlack other Chinese PakistaniIndian White Other Prefer not to say

If Other ,please givedetails

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MENTEE DECLARATIONIf selected to participate in Diversi-tees my commitment is to :

Attend the induction training and introduction event at the beginning of the SchemeProvide feedback during the Scheme and by writing an End of Scheme report withmy mentor Arrange a minimum of 4 two hour meetings with my Mentor and maintain regular contact with themAttend the Celebration of Achievement at the end of the SchemeInform the Scheme Co-ordinator if I have any problems relating to my participation inthe Scheme

Signature :........................................................... Date : 23/05/2011................................

Thank you for completing this form. We will contact you as soon as possible toarrange an interview.

Please print, sign and return the completed form to:Sue Stockwell,Diversi-tees Co-ordinator Teesside University Careers ServiceStudent Centre

Borough RoadMiddlesbroughTS1 3BA.

If you have any queries please do not hesitate to contact me on:Tel: 01642 342283/60 Fax: 01642 [email protected]

Note : Information will be held by the University in compliance with the provisionof the Data Protection Act 1998.

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mailto:[email protected]:[email protected]

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