Full mentor application

This is optional. It asks about your experience and your referees, and filling it in now means we can match you sooner. If you would rather wait, someone from our team will contact you. All mentors must complete background checks and safeguarding training.

Not signed up yet? The quick sign-up takes a minute.

Your details

First name *

Surname *

Date of birth *

Nationality *

National ID or passport number

Home address *

Parish *

Home phone

Mobile number *

Email *

Use the email you signed up with.

How should we contact you?

Emergency contact name and relationship *

Emergency contact phone number *

Your experience with young people

Tell us about any mentoring, coaching or work with young people you have done *

If you have not done this before, say so.

Why do you want to be a Chapman Challenge mentor? *

Up to 1,500 characters (about 250 words)

Tell us about a time you supported or guided a young person *

Which level would you like to mentor?

Level 1, The Explorer (ages 10 to 17) Level 2, The Builder (ages 16 to 20) Level 3, The Leader (ages 18 to 24) No preference, put me where I am most needed

Reference 1

Full name *

How they know you

Occupation or job title

Organisation

Phone number *

Email *

Years they have known you

Reference 2

Full name *

How they know you

Occupation or job title

Organisation

Phone number *

Email *

Years they have known you

Background check and convictions

I consent to a criminal record background check being conducted *

I have no convictions for offences against children or vulnerable persons * I have a conviction to disclose (give details below)

Code of Conduct Acknowledgement

I have read and agree to abide by the Mentor Code of Conduct * I understand my mandatory safeguarding reporting obligations * I understand this is voluntary and unpaid, and takes two to four hours a week. * I confirm all information provided in this application is true and accurate *