Giving to Heritage Mentor Application Form

Please return your application form as soon as you can to:

Please read the enclosed programme prospectus before completing
Guidance on Completing the Application Form
For certain application form questions, you may consider that certain responses will be viewed more favourably than others. We urge you to respond honestly and to only select responses that are genuinely truthful. In short, please do not tell us what you think we want to 'hear'.
If there are any questions that you do not understand, please refer to the prospectus in the first instance.
If a review of the prospectus cannot resolve your issue, please contact

Personal Information
P1.0 / First Name:
P2.0 / Surname:
P3.0 / Gender:
P4.0 / Heritage Organisation:
P5.0 / Primary Location You Work From:
P6.0
P7.0 / What town/city do you live in:
Job Title:
P8.0 / Mobile Phone Number*:
P9.0 / Landline Phone Number*:
*The phone numbers you provide will be used exclusively for the purposes of the mentoring programme pilot and will only be viewed by appropriate personnel. We will only contact you by phone if we need to check an aspect of your application and at key stages of the mentoring programme if your application is successful.
P10.0 / Email address:
P. 11 Biography
Please provide a short biography of your experience to date. This should be no more than 100 words or so. Please note that this will form part of the matching process:
Experience of being a Mentor
Mo1.0 / What is your experience of being a mentor?
I have previously mentored and am doing so at present
I have previously mentored, but am not doing so at present
I am mentoring at present, but have no previous experience
I have no current or previous mentoring experience
If you have previous and/or current mentoring experience, please could you list the names of the people you have mentored or are mentoring? This will allow us to ascertain whether any of your current or previous mentees are participating in the programme. It is important for us to know this as it may determine the matching sessions certain participants are asked to attend.
Mo1.1 / I am currently mentoringthe following people:
Mo1.2 / I have mentored the following people:
Mo1.3 / Have you previously attended IoF mentoring training?:

Mo1.4 Have you previously attended any other formal mentoring training? (if yes, please give details):

GTH Mentoring Programme Questions
IM1.0 / What are your motivations for being a mentor?
I 3.0 / Please indicate below the areas of fundraising you are particularly experienced in and which you would enjoy offering support:
Corporate Fundraising
Trust Fundraising
Community Fundraising
Major Gift Fundraising
Direct Mail/Marketing
Legacy Marketing
Shops/Trading
Face to Face Fundraising
Telephone Fundraising
Fundraising Strategy
Other: Please Specify….
In addition to fundraising related issues, some mentoring relationships are likely to discuss broader work issues (e.g. Relationships with colleagues, changing jobs) and personal issues (e.g. Dealing with the demands of work and parenthood, developing a new passion).
I 5.0 / Do you have a preference in relation to the gender of your mentee?
I have no preference
I would prefer a female mentee
I would prefer a male mentee
Employer Details
By applying to the Giving to Heritage Mentoring Scheme you are agreeing to commit toattending the relevant training sessions in addition to4 hours of work time per monthto meet/engage with your mentee(these four hours can be split in any way you wish as agreed with your mentee – for example every other week for two hours per week/every week for one hour per week/every month for four hours per month).
Please agree this with your line managerpriorto returning this application form.
I 6.0 / Would you be happy for us to contact your employer?
Please select the box which applies to you:
Yes
No
Not applicable - I am self-employed or am Chief-Executive/Director of my organisation and do not report to a Board of Trustees.
If you answered ‘Yes’ to the above question, please go to question ‘I.8.0’.
If you answered 'No', this does not necessarily preclude you from participating in the programme.
However:
(i) All the compulsory sessions for the programme will be during working hours
(ii) Most mentees are likely to want to conduct mentoring during working hours
Consequently, without your employer's support, attendance atthe mandatory sessions is likely to require you to use some of your annual leave. Furthermore, if a mentee cannot be found that wants to be mentored during weekday evenings or weekends, then you will either have to take mentoring sessions as annual leave, or accept that a match cannot be found.
I 7.0 / In view of these issues, please select the box that applies to you if you answered ‘No’ to question ‘I 6.0’:
I understand the issues and risks of not engaging my employer, but would still like to be considered
I understand the issues and risks of not engaging my employer and no longer wish to be considered for this year's programme. However please keep my details on file for future programmes
I understand the issues and risks of not engaging my employer and no longer wish to be considered for this year's programme or for future programmes
If you selected the second or third option to the above question, please send your form at this stage to the address listed on the last page of the application.
If you selected the first option please move on to the ‘Evaluation Questions’ sectionof the form (if it is present)to complete your application. If the ‘Evaluation Questions’ section is not being used for this programme, please submit your application at this point.
I 8.0 / If you answered 'Yes' to ‘I 6.0’, please write down the name and contact details of the person that has the authority to sign an employer commitment form. This is likely to be your line manager or Chief Executive.
First Name
Surname
Email Address
Telephone (Landline)
Telephone (Mobile)
I 9.0 / We will seek to contact the above person between during early March 2014 If the above person could be away (e.g. on leave) during this time, please could you list another person we could contact. N.B. This person should be at least as senior as the above person.
First Name
Surname
Email Address
Telephone (Landline)
Telephone (Mobile)
Evaluation Questions
For the following statements about personal qualities please circle or shade the number which best describes your perceived competence. Circling/shading ‘1’ implies you perceive that you are very highly skilled at the quality, while circling/shading ‘7’ implies you perceive yourself to be very poorly skilled.
E 1.0 / I am motivated to develop as a person
Excellent / Very Poor
1 / 2 / 3 / 4 / 5 / 6 / 7
E 2.0 / I am open. I share who I am and how I feel with others
1 / 2 / 3 / 4 / 5 / 6 / 7
E 3.0 / I am reliable. I promise what I do and do what I promise
1 / 2 / 3 / 4 / 5 / 6 / 7
E 4.0 / I am able to recognise and understand my moods as well as their effect on others
1 / 2 / 3 / 4 / 5 / 6 / 7
E 5.0 / I am able to control disruptive emotions. I am able to think before acting
1 / 2 / 3 / 4 / 5 / 6 / 7
E 6.0 / I am good at understanding the emotional make-up of other people
1 / 2 / 3 / 4 / 5 / 6 / 7
E 7.0 / I am effective at treating people as they are, not as I would like them to be
1 / 2 / 3 / 4 / 5 / 6 / 7
E 8.0 / I am able to find common ground with other people
1 / 2 / 3 / 4 / 5 / 6 / 7
E 9.0 / I enjoy my work
1 / 2 / 3 / 4 / 5 / 6 / 7
E 10.0 / I feel capable of doing the work that is expected of me
1 / 2 / 3 / 4 / 5 / 6 / 7
E 11.0 / I am a good listener
1 / 2 / 3 / 4 / 5 / 6 / 7
E 12.0 / I give good feedback
1 / 2 / 3 / 4 / 5 / 6 / 7
E 13.0 / I can use questioning techniques to help someone else resolve an issue
1 / 2 / 3 / 4 / 5 / 6 / 7
E 14.0 / I work well with others
1 / 2 / 3 / 4 / 5 / 6 / 7

Please email your completed application form to:

Please return you application form as soon as you can.

Applicants will be informed as to whether their application has been successful or unsuccessful by the first week of March.

Excellent fundraising for a better world