Mentoring Circles Application Form

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Complete this form if you are a first year undergraduate who would like to take part in Mentoring Circles.

Your Contact Details

Your First Name is usually your names given to you at birth; your last name is usually a family name
This is sometimes known as your Roll Number on correspondence you have had with the University. If you can not find this you can use your Applicant Number
This will be the main means that we contact you by, so use an email address that you check regularly.
You only need to fill in this email address if you have been given your Salford email address already. If you do not known your Salford email address please leave this blank.
Please include any international dialling codes needed to contact you

Write your address in the UK below:

What is your date of birth?

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