Application Form
Thank you for your interest in Student Life Mentoring, we look forward to receiving your application.
The first round of recruitment closes on Friday 31st March 2017, so please submit your application
form as soon as possible. Please return your completed application form to [email protected],
or to the Student Life Team in the Student Services Centre.
Section 1: Personal Details
URN:
Title:
First name:
Surname:
Name you like to be called (if different from your first name):
Email Address:
Telephone Number:
Current Placement Location (if applicable):
Section 2: Other Information
i.
ii.
In 2017/18 what level and year of study will you be? (Please delete as appropriate)
Level
Year
Undergraduate
First year
Final year
Postgraduate
Second year
Other (please specify):
Will 2017/18 be your first year at University of Surrey? (Please delete as appropriate)
Yes / No
iii.
Where will you be living for the 2017/18 academic year? (Please delete as appropriate)
Stag Hill
Manor Park & Bellerby Court
Hazel Farm
Off Campus
iv.
Have you previously lived in University accommodation? If so, which court(s) did you live in?
Please note: You will only be able to be a Mentor where you have previously lived/will be living.
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Section 3: Application
1. Mentors are expected to communicate with a diverse range of people. Can you give an
example of a time that you built rapport with someone who was very different to yourself
and explain how you did it? (approx. 150 words)
2. Please give an example of a time when you have assisted or supported someone with a
problem. What were the key elements in the assistance/support you provided? (approx. 150
words)
3. Case Study: As you get to know your mentees it becomes clear to you that one of your
mentees is really struggling to settle in and make friends, you are also finding it hard to build
a relationship with them. What would you do in this situation? (approx. 150 words)
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Section 4: Team Leader Application
Please only complete this section if you are applying for a Team Leader position.
4. Briefly describe the qualities you admire in a leader. Which of these qualities do you feel you
possess already and which qualities would you like to build on, and why? (approx. 150 words)
5. Please give an example of a time when you have led or contributed to the organisation of an
event. Which skills were required for your role? (approx. 150 words)
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Section 6: Declaration
Special Requirements (please tick the box to agree with each statement).
 I have confirmed University accommodation (Stag Hill, Manor Park & Bellerby Court or Hazel Farm)
for the 2016/17 academic year, or experience of previously living at any of these University
accommodation sites.
 I understand that if I am living off campus it will be my responsibility to get to the correct site in
time for evening work, and I understand that I will not be compensated for travel time.
 I will be flexible and reliable (in relation to Team Meeting times and being willing to work a shift on
a different evening Mon-Fri each week).
 I will complete Mentor Training, SID Training and ensure my familiarity with the Mentoring
Handbook.
Have you ever been subject to University disciplinary procedures (except library and parking fines)?
(Please delete as appropriate)
Yes* / No / Unsure*
Have you ever been convicted of a criminal offence (spent convictions as defined by the Rehabilitation
of Offenders Act 1974 being specifically excluded)? (Please delete as appropriate)
Yes* / No / Unsure*
* If you mark an answer as ‘yes’ or ‘unsure’, a member of the Student Life Team will be in contact to discuss
further. Disclosing this information will not necessary prevent you from becoming a Mentor, however, failing to
disclose relevant information may be cause for instant dismissal if the information subsequently comes to light.
I confirm that to the best of my knowledge, the information I have provided in this application form is
correct. I understand that any misrepresentation or omission may render me liable for dismissal.
Name:
Date:
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What do we use this information for?
Student Life Mentors have a very important role in the residences, and are put in positions of great responsibility,
so it is important for us to know detailed and relevant information about candidates.
We may contact other relevant members of University staff for references or background information as part of
considering your application.
What happens next?
When you submit your application via email we will confirm its receipt as soon as possible. Within 15 working
days of your application being received, a member of the Student Life Team will contact you to either invite you
to interview, or to let you know that your application has been unsuccessful.
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