Ixion Volunteer Mentors Form
Thank you for showing interest in becoming a business mentor, as part of the Ixion Volunteer Mentors scheme. We genuinely appreciate your commitment to giving back to enterprise start-ups. If you require a letter from us to give to your employer, please don't hesitate to ask. As part of our registration process we will be required to vet all potential mentors, so thank you for taking the time to fill in as much as possible for this form.
Full Name
Your answer
Street Address
Your answer
Town/City
Your answer
Postcode
Your answer
Telephone (Best contact number for you)
Your answer
Mobile Number
Your answer
Email Address
Your answer
Where did you hear about us?
Mentor Information on your background and areas of specialism
Most Recent Job Title
Your answer
Sector Experience
Required
Location
Required
Your answer
Do you have a criminal record?
Are you happy for us to conduct a criminal record check?
Preferred choice of mentoring work
I agree to the Ixion Volunteer Mentors Terms & Conditions
(Terms and conditions can be found at www.ixionvolunteers.co.uk/index.php/terms-conditions)
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