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Coaching and Mentoring application form

Please return the completed nomination form - to either provide or receive coaching/mentoring - to Anna Chapman, Organisational Development, University House or by email:

As far as possible, line manager approval should be sought prior to applying for a coach/mentor under this scheme. However, if this is an issue, your application will still be accepted to support your development, but please be mindful of using work time for meetings.

Privacy Statement:

As a member of staff, we ask that you read our updated Staff Privacy Notice carefully as it contains important information on how and why we collect, store, use and share your personal data, your rights in relation to your personal data and who to contact in the event that you have a query or complaint.

Please note that all coaching and mentoring arrangements remain confidential and any reporting on the scheme does not include names or individually identifying information. For those requesting coaching or mentoring, personal details included on the application form are used only to support the matching process and are only retained for the duration of the paired relationship. For those volunteering to be a coach/mentor, the details submitted are retained on a secure spreadsheet to support effective pairing with individuals, for the duration of volunteer status on the scheme.