Www.carmichaelireland.ie



Carmichael Mentor Programme

Carmichael House, North Brunswick Street, Dublin 7

To help us with the selection of participants in programme and with the process of matching mentor and mentees, could you please complete this form and return it to: roisin@carmichaelireland.ie.

Responses are treated in strictest confidence

Mentee Application Form

Name:

Job Title:

Organisation name:

Website:

Telephone:

Mobile:

Email:

Please give a brief description of your organisation, its mission and its core activities:

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Please give a brief description your work and the areas or issues that you are seeking help from a Mentor and what outcomes would you like to see from the mentoring programme?

How would participating in the Carmichael Centre mentoring programme benefit you?

First thoughts on what you would like to discuss with your Mentor:

Please indicate the time of day you would most prefer for meetings and your preferred contact method (phone/mobile/email):

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