UKMT Mentoring Scheme 2019-20
To be completed by a member of staff from the student's school or college.
* Required
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
*
Knowing the student's age helps us to assign a suitable mentor.
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/
DD
/
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Student's email address
*
Your answer
Student's school year in September 2019
*
Year 9 (England and Wales); S2 (Scotland); Year 10 (N. Ireland)
Year 10 (England and Wales); S3 (Scotland); Year 11 (N. Ireland)
Year 11 (England and Wales); S4 (Scotland); Year 12 (N. Ireland)
Year 12 (England and Wales); S5 (Scotland); Year 13 (N. Ireland)
Year 13 (England and Wales); S6 (Scotland); Year 14 (N. Ireland)
Other:
Does the student currently have a UKMT Mentor?
*
Yes
No
Student's gender
This is optional and used to monitor participation in the Scheme
Your answer
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/
Mary Cartwright
Julia Robinson
Emmy Noether
Hanna Neumann
G. H. Hardy
Srinivasa Ramanujan
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