Mentor expression of interest form

Are you completing this form for yourself or on behalf of someone else?

For myselfFor someone else

Select your place of study:
—Please choose an option—FutureworksMatrix CollegePoint Blank Music SchoolRegent College LondonRichmondSAE InstituteThe Academy of Contemporary MusicThe Tavistock and Portman NHS Foundation Trust

Name of potential mentor:
mentor name

Email address of potential mentor:
mentor email

Phone number of potential mentor:
telephone

Personal characteristics (as defined by the funding criteria):

Black, Asian or Minority EthnicMature Student (21+)Creative Arts Student

Where did you first here about the Many Hands Project:
mentor hearabout