Please complete this form if you’d like to join the mentoring programme at GT Scholars. This is for young people aged 11-18.

Parent/Carer Name*
Parent/Carer email address*
Pupil Name*
Prefix First Last
Date of Birth*
School Name*
Borough*
Are you participating in any other mentoring, tutoring or enrichment programme?*
- Yes
- No
Have you applied to/are you currently on any other GT Scholars programme?*
- Yes
- No
Which other GT Scholars Programme are you on?
- I’m on/I’ve applied to the Academic programme
- I’m on/I’ve applied to the Awards programme
Question 1 Tell us some more about yourself eg. Extracurricular Activities, Hobbies etc*
Question 2 What goals do you have for the future? You can use this section discuss your academic and career goals. HINT:Be honest, be concise and be yourself*
Question 3. Please explain why you want to participate in the GT Scholars Mentoring Programme and what you hope to gain from being mentored.*
Question 4. Is there any other information that you would like to share with us?*

The GT Scholars Programme

Mentoring programme – Scholar Application form