Mentee application form 2019
Thank you for your interest in Findacure's 2019 peer mentoring programme. Please fill in this application form if you would like to be a mentee. This form should take 15-20 minutes to complete. If you are unsure of any questions or would like further guidance, please contact libbie@findacure.org.uk.

Please note there is a separate application form for mentors. Visit www.findacure.org.uk/peer-mentoring-2019 and select the mentor application form.

You will receive a copy of your application to your email inbox following submission.

Email address *
Title:
Full name: *
Your answer
Preferred telephone number: *
Your answer
Skype name:
Your answer
Your role at your patient group: *
Your answer
Time in current post: *
Please state roughly the number of years and months
Your answer
Other than being involved in a patient group, do you have another link to rare diseases?
Biography (max 200 words): *
Please provide a short professional-style biography which you are happy to be shared with your mentor and other participants on the programme. It should include a your background and current role at your organisation.
Your answer
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