2020-2021 Community Mentor Programme: Application Form
Please complete this Form by Monday, 5 October.
First name: *
Surname: *
Full home address: *
Please provide the address where you will be living during term time. Community Mentoring merchandise and materials will be posted to you.
Email address: *
Mobile number: *
Please select the College you attend: *
What is the name of the course you are studying? *
What year of your course are you in? *
I am a (please tick all that apply): *
Required
Do you've a medical condition and/or disability that requires special accommodation? *
If yes, please give details of the medical condition and/or disability and any accommodation required:
Please provide the name of the most recent education institution you attended prior to beginning College: *
For example, the name of your secondary school or the name of a Further Education and Training (FET) College
Did you participate in the Community Mentoring Programme in 2019-2020? *
Are you Garda Vetted by your College? *
Have you completed Tusla Children First E-Learning Programme before? *
Why would you like to be a Community Mentor? (maximum 200 characters) *
Please select your size below for your Community Mentor hoodie: *
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