Join our Charity CEO Mentoring Programme

Name *

First

Last

Job Title *

Organisation *

Contact email address *

Contact phone number *

How long have you been in your current role at your current organisation? *

What stage of your CEO/ Leadership journey are you at? * *

Please summarise your key responsibilities in your current role *

Who do you report to?

Please provide their job title

Please give brief details of your previous role, including job title, reporting lines and key responsibilities *

Please give brief details of your role before that one, including job title, reporting lines and key responsibilities *

Have you had any previous experience of mentoring or coaching? *

(e.g. attended training, coached a colleague, been mentored elsewhere, participated in another mentoring scheme)

Please give details of previous mentoring you have had

What are you hoping to gain from working with a mentor at this stage of your professional development? *

(Two or three bullet points)

Where do you see yourself in three to five years' time? *

Do you have any preferences as to the kind of mentor you would like to work with? *

(e.g., someone with experience of strategy, or fundraising or change management etc.) You don’t have to express a preference, and we can’t guarantee to meet it

Are you comfortable with the following forms of contact with your mentor? *

Video call
Phone call
In person (when safe and possible)

Are there any disabilities you will want us to consider when seeking to match you with a suitable mentor? *

How do you feel that your involvement in this mentoring scheme will positively influence your organisational culture? *

I confirm that I consent to the information I have given above being shared with those administering the Charity People Mentoring Network, and with any potential mentors. *

I am committed to being involved with the Mentoring Programme for 6 months *

I am committed

Before signing up to the programme, please make sure you are ready to commit to it. Mentoring relationships shouldn’t be onerous, but the do require both side of the partnership to commit to giving each other time and attention. Our mentors give their time for free, so please respect this generosity.

Join our Charity CEO Mentoring Programme

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