Hdn Board Mentoring 2016

HDN BOARD MENTORING 2016

MENTEE APPLICATION FORM

PART 1: ABOUT YOU

This information will assist with matching of mentees and mentors and planning where to hold group sessions.

Name
Email address
Telephone/Mobile number/s
Current Board membership (if applicable)
Organisation name
Your role
Organisation address
Employer Organisation (if applicable)
Organisation name
Your role
Organisation address
Town/ City/Region where you live:
How long Have you been a Board Member in your current organisation?
Other/Previous Board Member experience (if applicable)
Other relevant relationship with organisations or housing providers (which may help with mentee/ mentor matching and avoiding any conflicts of interest)

Please indicate below any days of the week/times of the day which you would prefer to avoid for one-to-one Mentoring (90 minutes to two hours approx.) and group sessions (10.00am -4.00pm approx.). Group sessions are usually held on Fridays(but may be held on other days).

PART 2: MORE ABOUT YOU

Please tell us why you wish to participate in the mentoring programme
Please describe any (but at least 2) individual goals that you would like the programme to help you and your Board to achieve

PART 3: SPECIFIC AREAS FOR DEVELOPMENT

Please indicate any specific areas of knowledge or skills you would like to develop as part of this programme.

This information will assist us in matching you with the most appropriate mentor for your development needs.

Please indicate also if this is a high, medium or low priority for you.

1. Housing sector knowledge(e.g. general knowledge of affordable housing sector; national policy; potential partner agencies; housing delivery etc.)

PRIORITY – High/Medium/Low (delete as appropriate)

1. Strategic Governance (e.g. regulatory requirements; governance best practice; strategy & business planning; identifying & monitoring risk; financial understanding; treasury management; value for money; social value etc.)

PRIORITY – High/Medium/Low (delete as appropriate)

1. Business development (e.g. Understanding property development/acquisition; strategic asset management; project appraisal; sustainability etc.)

PRIORITY – High/Medium/Low (delete as appropriate)

1. Customer and Community engagement(e.g. Understanding Equalities issues; customer engagement; community development etc.)

PRIORITY – High/Medium/Low (delete as appropriate)

1. Personal Skills(e.g. asking questions; assertiveness; identifying key issues; influencing team working; chairing meetings)

PRIORITY – High/Medium/Low (delete as appropriate)

1. Other – Please identify any other area of knowledge or skill or experience you would be willing to share.

PRIORITY – High/Medium/Low (delete as appropriate)

PART 4: ORGANISATION SUPPORT

Board Chair or ChiefExecutive’s name:
Role:
Telephone number:
Email:
Supporting statement from your Board Chair or Chief Executive:

Please supply details of who the invoice should be sent to:

Name:
Job title:
Email:
Address:

For HDN member organisations the cost is £1,350+VAT per mentee.

For non HDN member organisations the cost of the programme is £1,650+VAT per mentee.

Regional sponsors of the programme have free places on the 2016 programme.

PART 5: SPECIAL REQUIREMENTS

Please specify any special requirements for accessing buildings (e.g. wheelchair or lift access), any special dietary requirements and any special requirements you have relating to communications (e.g. large print, Braille or sign language).

Note: we will try our best to accommodate all requests. In the event that we are unable to meet all requirements we will inform applicants before they are registered onto the scheme.

By submitting this application you agree that the information provided in this form will be stored and used by Housing Diversity Network in accordance with our Data Protection Policy and the requirements of the Data Protection Act 1998. Information will be used by HDN staff and Associates for the purposes of managing and delivering the Board Mentoring programme. Parts 1, 2 and 3 of this form will be passed to your mentor for their information. Your contact details may also be used by HDN for informing you of other services provided by HDN. Please tick the box below if you would prefer not to be contacted by HDN about these other services.

Please do not contact me about other services and activities provided by HDN.

DECLARATION

I am willing to be a Mentee and am able to attend Four Mentoring Meetings and Four group development daysin 2016.

Please do not forget to complete the separate equal opportunities monitoring form.

Please email completed application to:

Application closing dateis 31stMarch 2016

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