Application Form for accessing mentoring/coaching support: Bectu/Cult Cymru

Please read through all the questions on both pages before you start your answers. Don’t be restricted by the size of the box; just fill up to the max. word count.

We realise time is short to complete this form therefore please don’t worry about writing style etc. the important thing is to get an idea of how this programme could benefit you.

Name:

Location (local authority e.g. Gwynedd, Rhondda Cynon Taf etc.)

Sector you work in (delete as appropriate or write next to ‘Other’)

TV/Film Digital media Theatres/Live Events

Other:

Role title. And please list some of your responsibilities, roles and skills

Mobile phone no.

Let us know if you have any disabilities e.g. hearing/sight impairment to enable us to make reasonable adjustments

Employment status

(highlight in a different colour/delete as appropriate or write next to ‘Other’)

Freelance/Sole trader/Casual

Ltd Co./PSC

Employee

Other:

*Please note that this pilot mainly covers freelancers but can include employees who are facing particular challenges at this time e.g. due to potential redundancy or future job insecurity or being furloughed

How would you position yourself?

(highlight in a different colour/delete as appropriate or

Seeking sustainability, progression and/or change to career path

New to the creative sector (less than 1 year)

Returning to a career in the sector

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Application Form for accessing mentoring/coaching support: Bectu/Cult Cymru

write next to ‘Other’) Other:

Tell us a bit about you, yourself (to help us match you to a mentor)

(Suggested word count: 150-200)

Why would you like to undertake coaching/mentoring?

e.g. Support to help focus your future direction, identify knowledge, skills, experience you’d like to develop? Do you want to move into a different role, progress to another rung on the ladder or identify how to make best use of your time now and to flourish after Covid_19 etc etc…

(Suggested word count: 150-200)

What do you hope to achieve from being part of this programme – what would success look like?

(Suggested word count: 150-200)

GDPR: The data retained by bectu will be: Name, Sector, Job Title, Local authority area, Email, Mobile. Brief outline of areas of coaching discussed (to be agreed between Mentor/Mentee.

Confidential – individual not identified) Equality monitoring: Gender, Ethnicity, Disability, Age (Confidential individual not

identified)

Each mentor and mentee will need to sign and complete a Welsh Government Learner Form, a confidential Equality Monitoring form and an Evaluation Form.

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