One2One Mentoring Application Form 2018 for West Dublin YMCA
Please submit this form if you would like to be considered for participation in our next free Training Opportunity for Mentors in Autumn 2018. Closing date for applications is Monday September 24 2018.
Email address *
1. What is your name? *
Your answer
2. What is your telephone number *
Your answer
3. What is your email address? *
Your answer
4. What is your home address? *
Your answer
5. Which of the following best describes your status? *
6. If in employment please give your job title? *
Your answer
8. Can you indicate any formal education level you have achieved? *
Your answer
9. Please supply the name,telephone number and address of two referees whom we can approach *
Your answer
10. Will you be able to commit to arriving at the YMCA in Brookfield, West Tallaght on time each Tuesday night for 6.30 pm - 8pm (One hour mentoring followed by debriefing) during three school terms for one school year? *
A copy of your responses will be emailed to the address you provided.
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