FALA 25 Mentor Application Form

Role Profile

Please find the FALA25 Mentor Role Profile HERE


(Clicking the link will open a new window)

Equality Monitoring Form

In addition to this form, you will need to complete the linked Equality Monitoring Form HERE.


Clicking the link will open a new window. Please return to this window to complete this form.

Mentor Information

Select or enter value
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Does your employer agree to you taking part in the programme?*

Please describe and share any adjustments you would find helpful


Mentor Questions

Please ensure you answer all questions below. You may answer questions 2-6 in written or video format.


If you are submitting a video for any/all of the questions, please explicitly state in the question answer box that you will be doing this.


Please note that the word count / video length varies for each question.

Were you a Mentor during FALA24?*

(250 words / 2 minutes, 15 seconds)

(500 words / 3 minutes, 45 seconds)

(250 words / 2 minutes, 15 seconds)

(250-300 words / 2 minutes, 45 seconds)

(250 Words / 2 minutes, 15 seconds)

(250 Words / 2 minutes 15 seconds)

(250 words / 2 minutes 15 seconds)

Please use this File Upload to attach:


  • Any video answers to the above questions

(Please label any videos: FullName_FALAMentorApp_QuestionX)


  • A reference from your line manager
Drag and drop files here or

FURTHER ACTIONS

Please ensure you complete the following actions below before submitting your response.


  1. Attach a reference from your Line Manager
  2. Ensure you complete your Equality Monitoring form (link at the top of the form - please ensure you submit both forms)

Line Manager Reference

Please attach or upload a reference from your line manager.


The reference needs to be on headed paper and include the name, job title plus contact details of the person who wrote the reference.


The reference should be no more than 500 words.