Mentee application form 2020-21
Thank you for your interest in Findacure's 2020-21 Patient Group 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
Please note there is a separate application form for mentors. Visit
and select the mentor application form.
You will receive a copy of your application to your email inbox following submission.
Preferred telephone number:
Your role at your patient group:
Time in current post:
Please state roughly the number of years and months
Other than being involved in a patient group, do you have another link to rare diseases?
I am a patient living with a rare disease
I am a parent of a child diagnosed with a rare disease
I am a carer for someone diagnosed with a rare disease
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.
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