Mentor Application Form

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Mentor Application Form - please enter your details
Email^*
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Full name^*
Please enter your full name.
Current primary affiliation^*
Please enter your current primary affiliation.
Academic rank^*
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Research areas^*
Please list your main research areas (separate with comma)
Are you an ABCP member?^*
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Do you have any preferences for potential mentees?
Research areas
Please enter your request for the mentee's research areas (separate with comma).
Others
Please enter if you have any other request or comments on the mentoring.

What sort of support do you wish to offer to your mentee(s)?
Advice on teaching

Comments on grant proposals

Advice on impact activities

Advice on professional relationships

Advice on career progression

Advice on leadership development

Please choose from the options.

What would you be interested in gaining from mentoring?
Please enter what you would be interested in gaining from mentoring?
Do you have any other comments?
Please enter if you have any other comments or suggestions.

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Mentor Application Form

Mentor Application Form - please enter your details

Do you have any preferences for potential mentees?

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