STEMAZING Mentor Application Form

You are applying to take part in this programme as a MENTOR.

Please note this is open to any gender to become a more effective mentor for women and non-binary people in STEM related organisations and institutions.

Please note your information is managed in accordance with our GDPR and Data Privacy Policy and will only be used for the purposes of this programme.

First name

Last name

Email

Confirm Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Nationality

Gender

Ethnicity

Please provide your LinkedIn profile URL if you have one, or put N/A if you don't have one.

Please include a short bio about your career journey to date, including any professional qualifications and registrations, such as Chartered Mechanical Engineer.

E.g. BSc in Computing, 5 years experience in Data Analytics, Qualified Project Manager, Member of BCS.

Current Occupation / Role

Organisation / Institution you work for (if currently not working please put your last employer)

Please summarise what you feel is your field of expertise in a few words.

How many years of professional experience do you have?

What challenges have you had to overcome to allow you to reach this stage in your STEM career, and what helped you to overcome them?

Have you been a mentor before? (Please note previous mentoring experience is not a requirement for this programme as we provide training for mentors)

Yes

No

Other

If you answered 'yes' above, please briefly describe your experience.

Have you had a mentor yourself before?

Yes

No

Other

What do you think makes a good mentor?

Why do you want to be a mentor on this programme?

What specific skills, experience or knowledge are you excited to share with a mentee?

Are there any other topics or areas you are willing to mentor in? e.g. leadership, networking, technical skills, work-life balance, confidence building, career planning, negotiation skills, interview skills, project management skills etc.

We expect mentors to commit 2 hours a month from March 2025 – Dec 2025 for this mentoring programme. Your training will take place in March, and the mentoring relationship will run April to Dec. Can you commit to this?

Yes

No

Other

We want to be inclusive for all mentors applying. Do you have any accessibility requirements you would like us to be aware of, e.g. any additional support you need to help you participate fully in this programme?

Is there anything specific about your background, culture, or identity that you'd like your mentee to be aware of?

Is there anything else you would like us to know about you that will help us in matching you with a mentee if you are chosen to take part in this programme?

Please rate your confidence as a mentor for women in STEM? 5 being high and 1 being low. (please be honest, if you are not confident that is fine which is why we do our training first)

Please rate your current skillset and toolbox for being an effective mentor. 5 being high and 1 being low. (please be honest, our training will support you to enhance this further).

We want to keep in touch with your organisation about the plans and progress on this mentoring programme. Please supply the lead contact name in your organisation who is aware that you are volunteering.

Please supply this lead contact's email address

Selected Mentors will get access to our Mentor Training tutorials. join a group of other new STEMAZING mentors in monthly online Mentor Circles for additional live support, plus join a mentors' WhatsApp Group. Do you consent to:

My LinkedIn profile picture (or other photo you send us) being used in a Mentor montage shared on social media

My email address being shared with other selected Mentors on this programme

Joining the monthly live Mentor Circles via Zoom (one lunchtime a month, invites sent in advance)

Joining the Mentor WhatsApp Group for peer sharing

My contact details being shared with my matched mentee

Maintaining confidentiality and professionalism throughout the mentoring relationship

Please select whether you are from a Partner organisation

Please let us know which of the following options apply to you to cover the costs of your place on this Mentor Training and Development Programme. (you can tick more than one)

STEMAZING Partner place (my company is a STEMAZING Partner)

Scholarship place (my company is NOT a STEMAZING Partner)

I can self-fund (my organisation will pay or I can fund myself)

Other

Do you have any final comments or questions for us?