Withinsightedu Application Form

Insight2Uni Mentor Application Form

Profile

Profile Image:

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Your First Name:*

Your Surname:*

What is your university email*

Please type your personal email*

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University

What Univerisity do you attend?*

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Ethnicity

What is your ethnicity? *

Background

Are you an international student?

Degree

Graduation Year

Please enter your graduation year*

Studies

Career Aspirations

Expectations

Briefly state why you want to be a mentor*

General Interests

Preferences

Do you have any specific preferences about who you would like to be mentored by?*

What is your gender?*

Commitment

Are you happy to volunteer an average of one hour per month per mentee/group?*

Permissions

Do you consent to With Insight Education and its partners capturing photographs, videos and quotes from you for use in fundraising, marketing, or publicity purposes (including social media, press releases, and funding applications)?*

Are you happy for us to contact you with further information about our programmes and alumni network?*

Do you understand that all applicants will be subject to an enhanced DBS check before being accepted onto the programme?*

Data protection

The data collected here will be processed by With Insight Education in accordance with the Data Protection Act 2018 and the General Data Protection Regulation. It will be kept in a secure database for as long as we need in order to track your progress through higher education. It will be used to administer participation in the scheme as well as to conduct database analysis and quality assurance checks. With Insight Education and its partners will not use your data in a way that would affect you individually, and we will not release data to anyone who is unauthorised. Should you wish to opt out of sharing your data, please contact With Insight Education at [email protected] Under the Data Protection Act 2018 and the General Data Protection Regulation you have the right to request a copy of the information that we hold about you. You may also ask us to correct or remove any information you think is inaccurate or opt out of sharing your data at any time. If you wish to do this, please contact [email protected].*

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