Inverness Chamber Of Commerce - Business Mentoring - Mentor Application Form

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Business Mentoring - Mentor Application Form


Title:
Name:
Business Name:
Position Held:
Address:
Address 2:
Town:
Postcode:
Tel number:
Mobile:
Email:
Website:
How many years have you been in business?:
Which best describes your status in the business?:	Owner Director Non Executive Director Manager Shareholding Director Other
Which best describes the main business activity?:	Agriculture, Hunting, Forestry Construction Education Electricity/Gas/Oil/Water Supply Financial Services Fishing Land Management Hotel/Restaurants/Licensed premises Manufacturing Mining & Quarrying Oil & Gas Community, Social, Personal Renewable Energy Professional Services Estate Agent/Housing Sector Transport/Storage/Communications Wholesale/Retail trade Other, please state:

Indicate key areas relating to your business experience:	Operations Management People Development Finance Business Development Strategy
How did you hear about business mentoring?:

Data Protection Business Mentoring will use the information which you provide on this form to assess your requirements within the Business Mentoring Programme. We would like to keep a record of your information in case other opportunities in relation to our services or those of Highlands & Islands Enterprise network arise in the future, which we think may interest you. If you do not wish us to do this, or contact you about these then please tick this box:
We will use your personal information for personnel administration and management purposes, including carrying out appropriate checks and marketing. We may need to share your information for these purposes with our associated companies, local enterprise trusts, our agents and the Highlands & Islands Enterprise network. We would also like to use your information to help us identify services, which associated companies, Highlands & Islands Enterprise network or Business Mentoring may offer and which may be of interest to you. If you do not want to be contacted (either by mail, telephone or email) with details of services please tick this box:
You have a right to ask for a copy of the information we hold on you and which is subject to the Data Protection Act 1998 (for which we make a small charge), and to correct any inaccuracies in your information.

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Partners in Enterprise

Friday, 18 May 2012