Expert Impact Mentoring Programme Application Form
Personal Details
Title
Please select...
Mr.
Ms
Mrs.
Dr.
Prof.
First Name
Last Name
Job Title
Email
Mobile Phone
Address
City
Post Code/ZIP
Country
Website 1
Website 2
Application details
Org Name
Your Logo
Please use a high resolution image. Supported image types: .jpg .gif .png .bmp
Please use the dropdown menu to select your closest Expert Impact Mentoring location
Please select...
London
Manchester
New York
Birmingham
Ireland
Other
If you chose other, please let us know where you are in the world
Please select which of the UN Sustainable Development Goals your work aligns to (Choose as many as appropriate)
No Poverty
Zero Hunger
Good Health & Wellbeing
Quality Education
Gender Equality
Clean Water & Sanitation
Affordable clean Energy
Decent work & Economic Growth
Industry Innovation & Infrastructure
Reduced Inequalities
Sustainable Cities & Communities
Responsible Consumption & Production
Climate Action
Life Below water
Life on Land
Peace, Justice and Strong Institutions
Partnerships for the Goals
What stage are you at
?
Please select...
Pre - launch - developing ideas and building resources
Recently launched- testing business model and theory of change
Ready to scale - confirmed model and theory of change, looking to grow and replicate
Large Scale - have expanded and are now operating in more than one sector or Country
Describe what you do in one or two sentences
How do you measure and demonstrate your social impact? (e.g. number of people helped, CO2 emissions avoided, laws changed etc..)
How many years have you been operating?
Please select...
<1 year
1 - 2 years
3 - 5 years
6 - 10 years
10+ years
How many people do you employ (Full time or full time equivalent)
What is your Estimated annual turnover?
Enter only numbers
Annual Turnover Currency
Please select...
GBP
US Dollars
Euros
Other
What type of issue(s) would you like to discuss with one of our Experts?
Business development
Marketing/PR (Customer acquisition)
Governance
HR and team
Raising investment
Strategy and planning
Technology
Crisis Support (COVID19 related issues)
Other
Please note: While you may not ask our Experts for investment, it is fine to ask for advice about raising investment
Please explain the specific question or issue you have and how, by addressing it, this will help you scale your impact.
Is there one of our Experts you would specifically like to meet, if so please explain here
Please note: we can not guarantee introductions to specific individuals, but if you have a request we will bear it in mind during the matching process.
Are you a current member of Social Enterprise UK?
Yes
No
How did you hear about us?
Please select...
Direct Approach
Event
Social Media
Google Search
Personal Recommendation
Other
Please specify further.
Please specify further if you have selected "Event, Social Media or Other as an Option"
I understand that there is no charge for an Expert Impact Mentoring session, and that I commit to giving short feedback in both written and video form after the session and again a few months later.
I agree
Contact Information