Application form

The deadline for applications is Friday 17 February 2023 at 17.00.

It is vital that you attend all the sessions below so please hold them in your calendar.  Confirmation of your participation will be sent after 17 February:

  • AHUA Mentor training, Thursday 16 March, 10.00 – 15.30, at Mills & Reeve’s offices, 24 King William St, London EC4R 9AT
  • Meet your Mentor session, online, Tuesday 21 March, 14.30 – 15.00
  • Mid point check-in session, online, Tuesday 5 September, 13.30 – 15.00.

AHUA Mentor Application Form

"*" indicates required fields

Personal Details

Application questions

Diversity

Ethnicity*
Age*
Gender identity?*
Confirmation*