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Merton Society Mentoring Scheme - Nomination Form
Your first name(s)
Your last name(s)
Your email address
Name of proposed mentor
Please add your own name if you are willing to be a mentor yourself.
Why do you think they would make a good mentor?
Would you be able/willing to contact them directly if they are selected?
Yes
No
Check this box to nominate another person
Proposed mentor #2
Name of proposed mentor
Why do you think they would make a good mentor?
Would you be able/willing to contact them directly if they are selected?
Yes
No
Check this box to nominate another person
Proposed mentor #3
Name of proposed mentor
Why do you think they would make a good mentor?
Would you be able/willing to contact them directly if they are selected?
Yes
No
Check this box to nominate another person
Proposed mentor #4
Name of proposed mentor
Why do you think they would make a good mentor?
Would you be able/willing to contact them directly if they are selected?
Yes
No
By submitting this form you confirm that you have read and understood the following data protection statement: The information you provide will be held by Merton College in accordance with the College’s
data protection policy, privacy notices and retention schedules
; the Data Protection Act 1998; and the General Data Protection Regulation 2018. It will be used solely for the purpose described above. The information you provide will not be passed on to any third parties without your permission and the College does not sell any data to third party organisations.
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