Mentor Application Form Logo
  • Connect: Mentor Programme

    Application form for Mentors
  • Thank you for your interest in the Mentoring Programme. The goal is to create organic experiences through connectedness and mentorship by equipping our scholars with the skills and tools required to become future leaders. The programme is designed to assist them in setting and achieving their personal and professional goals and in doing so, reaching their full potential.

    If you have any questions, please email mentors@madleadership.org 


    By completing this form you are giving consent to the Make A Difference
    Leadership Foundation Mentoring Programme team to have the right to use the details provided for the sole purpose of mentor-mentee matching. Your information will remain secure and confidential. It will not be disclosed to any persons outside of the organisation until you have been matched with a mentor, at which point your contact details will be passed on to the mentee. For further information about how MAD Leadership Foundation processes personal information, kindly contact the Mentor Support Team at the above email address to request the full privacy policy.

  • Clear
  • I. Personal Data:

    Identifying particulars
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  • Academic Background

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  • Employment Information


  • General Information

    Please note: in line with Make a Difference Leadership Foundation's Child Protection Policy, we require that criminal checks are conducted for all volunteers.
  • Background Experience and Interests

    Please provide us with the following information in order to find the right mentee for you
  • Please indicate your preferences, if any, to the following:

  • Our programme allows for the amount of time you can commit to your mentee. It also provides for both personal and professional mentoring. Please note that you can do both types of mentoring, however please do indicate the type you would predominantly prefer to participate in.

  • References

    Please provide us with at least two contactable. No more than one family member.
  • Reference 1

  • Reference 2

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