Mentoring Application Form

Are you happy to have a regular, weekly friendly meetings with young people?

Yes
No

Mentor Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Which borough do you live in?

Phone

Email

Equality and Diversity

Aishah Help wants to meet the aims and commitments regarding equality and diversity for our volunteers. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the volunteers in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this:

Gender

Date of birth

Ethnicity

More about you

Do you have a recent DBS certificate or are you registered on the DBS Update Service?

Yes
No

Please tell us about yourself

References

Please provide details for one referee. Good referees tend to be people who have been relatively close to you as you’ve grown up. So typically, this might be a neighbour or family acquaintance or tutor that you’ve got a positive relationship with.

How do you know the person in question

Name

First

Last

Phone

Email

Consent form

In order for us to work with you, we need to record your personal details and information about the service(s) you are volunteering in. To comply with the Data Protection Act (2018) and the GDPR we must tell you how we use this data and ask for your permission. By ticking the boxes and signing this form you are providing your permission for us to process your data for the purposes below.

Data Sharing Agreement

I consent to my data being collected and stored and shared with relevant authorities

True and correct

I confirm that the information I have supplied is true and correct to the best of my knowledge. I understand that any false or undisclosed information could result in the closure of my application for assistance.

Legal and Preference: Keeping in touch

Telephone
Email
SMS
Letter

We would like to keep you posted on our latest news about financial help available, our work, appeals and campaigns. Please let us know how you would like to hear from us.

I hereby consent

Yes
No

Aishah Help to share anonymised information about me and my volunteering with funders & in training to help show the impact of the service and help ensure it continues. using images of myself captured in video recordings, and/or photographs, taken/recorded.