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ParliaMentors Acceptance 24/25
Section 1: Personal details
Name
*
First
Last
Pronoun
Please enter your name and preferred pronouns e.g. he, she, they
Address - Please provide your permanent address (i.e. not temporary student accommodation).
*
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mobile Phone
*
Please include country code if a non UK number
Primary Email
*
Enter Email
Confirm Email
Secondary Email
*
Enter Email
Confirm Email
Do you have any access needs? Please state below and let us know how we can make programming accessible to you.
*
Dietary requirements
*
Vegetarian
Vegan
Kosher
Halal
Dairy free
Gluten free
None
Other
Please enter your dietary requirements here.
Other dietary requirements
Please enter any other dietary requirements that are not listed above.
Do you have a 16 - 25 or any other type of railcard?
*
Yes
No
I acknowledge that images may be captured during the ParliaMentors programme using film photography, digital photography, video or other medium and may be used by the Faith & Belief Forum (F&BF) to promote the organisation and its work, or other future events by F&BF via it’s websites, social media, promotional leaflets and brochures and other publicity material (such as internal and external newsletters). I understand that by participating in the programme, individuals are deemed to have given their consent unless express objections are received. If you have any issues with photography please contact Lauryn on lauryn.duncan-rouse@faithbeliefforum.org
*
I understand
A photographer will be present for a number of events throughout the programme including Induction and Graduation.
Section 2: Emergency contact details
Full name
*
Relationship to you
*
Mobile Number
*
Primary Email
*
Enter Email
Confirm Email
Section 3: Education
University
*
University of Birmingham
Aston University
University of Westminster
Nottingham Trent University
University of Nottingham
Degree programme
*
Degree type
*
Undergraduate
Masters
PhD
Other
Year of study in 2024/25
*
1
2
3
4
5
6
Section 4: Induction
The ParliaMentors Induction is a mandatory training that takes place from the 3rd-5th September 2024 in London as outlined in the email offering you a place. We will be meeting on the morning of the 3rd and finishing at 5pm on the 5th. All expenses, including transport to and from the training, as well as accommodation and food, are covered by us. All participants will be provided a room in accommodation for both nights, even those who live in London. Please confirm you are available on these dates
*
Yes, I can attend ParliaMentors Induction and therefore can fully commit to the ParliaMentors programme
No, I cannot attend and therefore cannot commit fully to the ParliaMentors programme
Section 5: Your Bio
Each year we ask successful applicants to send us a short bio about themselves. These bios are used to let people in your university and community know who is on the programme, as well as to let your MP mentor know who you are in advance of meeting you. We also publish the bios on the F&BF website and social media so that people can learn more about you! Your bio will include your name, course of study and the answer to the question below.
How does your faith, belief, or experience motivate you towards social action?
*
Please be SPECIFIC, CONCISE (we may have to trim these down) and DOUBLE CHECK FOR ERRORS!
Please upload a photo of yourself.
*
Max. file size: 100 MB.
Please upload your a headshot of yourself. This photo will be sent, alongside your bio, to your MP, stakeholders on and off campus and the alumni network, therefore please send a photo that you would be happy to share with those people. Ideally this would be the kind of photo you would use on LinkedIn.
Section 6: Social Media
We ask for this so we can tag you in social media posts about the programme.
Facebook
A link to your profile e.g. www.facebook.com/parliamentors1
Twitter
A link to your profile e.g. www.twitter.com/parliamentors
Instagram
e.g. www.instagram.com/parliamentors
Submit your Application
This completes your acceptance form. Before you submit please double check the accuracy of all sections