Embark Project Mentor Application Form
UK Based
Name and Surname (Please provide your name as written in your passport)
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Name
Surname
Date of Birth
*
.
Gün
.
Ay
Yıl
day-month-year
Gender
*
Please select one
Female
Male
Other
If you want to specify, you can type it in the box.
How did you hear about Embark Project? (You can select multiple options)
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Facebook
From a friend
From a Whatsapp group
From school announcements
Instagram
LinkedIn
Twitter
Other
E-mail:
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example@example.com
Phone Number
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-
Area Code
Phone Number
Which city or municipality do you live?
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Bath
Birmingham
Bradford
Brighton and Hove
Bristol
Cambridge
Canterbury
Carlisle
Chelmsford
Chester
Chichester
Colchester
Coventry
Derby
Doncaster
Durham
Ely
Exeter
Gloucester
Hereford
Kingston upon Hull
Lancaster
Leeds
Leicester
Lichfield
Lincoln
Liverpool
London
Manchester
Milton Keynes
Newcastle upon Tyne
Norwich
Nottingham
Oxford
Peterborough
Plymouth
Portsmouth
Preston
Ripon
Salford
Salisbury
Sheffield
Southampton
Southend-on-Sea
St Albans
Stoke-on-Trent
Sunderland
Truro
Wakefield
Wells
Westminster
Winchester
Wolverhampton
Worcester
York
Aberdeen
Dundee
Dunfermline
Edinburgh
Glasgow
Inverness
Perth
Stirling
Bangor
Cardiff
Newport
St Asaph
St Davids
Swansea
Wrexham
Armagh
Bangor
Belfast
Lisburn
Londonderry
Newry
When did you come to the UK?
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.
Gün
.
Ay
Yıl
day-month-year
What is your home country?
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Please specify your official registration status in UK.
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Temporary Protection
Student Visa
Highly Skilled Migrant
Asylum Seeker
Other
Do you have any specific arrangements you would like us to pay attention to or any adjustments you would like us to make for you?
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Motivation
What is your motivation to apply for the program?
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Could you please tell us a bit more about your dreams and what makes you feel excited about the future? We would like to know you closer with this question, your authentic answers are appreciated
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Please select topics from the options below in order to discuss in your meetings with your mentor.
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Digital Transformation, Social Media and Trends
What is Leadership? Perspectives of different generations and cultures on leadership, values, attitudes and sources of inspiration
Purpose, Impact and Meaning at Work
Work/Life Balance
Other
Please select the core competencies you would most like to improve for your caeer (You can select at least 1 and up to 3 options. You can add a competency not listed in the menu by clicking on the 'Other' option.)/ Please prioritize the core competencies you wish to enhance for your career development. (You may select a minimum of one and up to three options from the provided list. If a competency you wish to focus on is not listed, kindly specify it under the 'Other' option.)
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Teamwork
Problem-solving
Creative Thinking
Planning/Organization
Self Planning
Adaptability
Digital Skills
Job Search
Social and Professional Networks
Communication
Other (Please indicate)
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Education Information
Education Status
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Student
Graduated
Other
Name of the schools you currently attend and/or graduated from: (max 5 schools)
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What digital tools do you use? (MS Office, Canva, Photoshop, MatLab, the software languages, programs related to your field etc.)
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Please indicate your level for English.
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Level
Any Certificate?
English
Don't Know
Beginner
Intermediate
Advanced
Native
Yes
No
Would you like to add languages other than English?
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Yes
No
If you know any other languages than English, please specify them. You can add multiple languages.
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Professional Information
Please share the link to the LinkedIn profile
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Current employment Status:
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Not Working
Working
Internship
Please detail your employment status
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Are you open to new internship opportunities?
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Yes
No
Are you open to new job opportunities?
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Yes
No
In which fields do you apply for job/internship? (You can select multiple. You can add a competency not listed in the menu by clicking on the 'Other' option.)
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Accounting / Auditing
Administrative
Advertising
Analyst
Art / Creative
Business Development
Consulting
Customer Service
Distribution
Design
Education
Engineering
Finance
General Business
Health Care Provider
Human Resources
Information Technology
Legal
Management
Manufacturing
Marketing
Public Relations
Purchasing
Product Management
Project Management
Production
Quality Assurance
Research
Sales
Science
Strategy / Planning
Supply Chain
Training
Writing / Editing
Other (please indicate)
Do you have any professional experience related to your field? (Job, internship, volunteer work, freelance work, projects etc.)
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Yes
No
Please detail your professional experience
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There will be trainings where you will need to use a computer during the training period. Do you have computer and internet access?
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Yes
No
Do you confirm that you commit to attending 4 reverse mentoring sessions, a 1 and half hour kickoff session, and a 1 hour closure meeting?
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Yes
No
If you have any thoughts or feedback about this form, please specify.
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