UKMT Mentoring Scheme 2017-18
To be completed by a member of staff from the student's school or college.
Your school's name *
Your answer
Your full name *
Your answer
Your email address *
Your answer
Student's full name *
Your answer
Student's preferred name *
This could be their first name or any preferred shortened form.
Your answer
Student's date of birth *
MM
/
DD
/
YYYY
Student's email address *
Your answer
Student's school year in September 2017 *
Does the student currently have a UKMT Mentor? *
Is the student female?
This is optional and used to monitor the participation of girls.
Which programme would you like to sign the student up for? *
More information, and sample problems, for each programme are available on our website: https://www.ukmt.org.uk/mentoring/
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