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Home » Student Programs  »  Mentoring Program
 

Student Programs

Graduate Student & Postdoctoral Professional Mentoring Program
Mentor Application
« Back to Main Mentoring Program Page
 
Required Fields:  
*Name:
   
*Your Company/Institution:
*Phone Number:
( ) - ext.
* Email Address:
*Address Line 1:
Address Line 2:
* City:
* State:
 Zip:
* How many students are you willing to mentor?
*Have you ever mentored before? yes / no
 
Optional Fields:
Please provide as much information as possible to assist us in matching you to a mentee with like goals and expectations.
Current research areas:
Past research areas/fields of study:
   
Are you interested in receiving formal training on how to be an effective mentor?
yes / no
 
Would you like to be matched with a mentee who is:
In your discipline
In another discipline
No preference

 Male
Female
No preference
Would you like to be matched with a mentee from a specific institution?
   
When are you available to begin?
Amount of time you can contribute:
 
Meetings could be:
In Person
By Email
Over the Phone
No preference		 Over coffee
Lunch
Dinner
No preference		 Morning
Afternoon
Evening
No preference
 
Which of the following areas would you would most like to discuss with a mentee?
(check all that apply)
My knowledge and experience in the scientific community
My life/career experiences
Candid and supportive approach to an aspiring member of my field
Effective approaches to challenging situations one may encounter in their career
Different ways to define success and to become successful
Methods to establish quality professional relationships
Gender/diversity issues
Objective and insightful approach to mentee's present issues and demands
Experience in leadership positions
Balancing family and career
Methods of effective networking
My scientific research
Information regarding academic versus industrial careers
Suggestions on pursuits or new initiatives that will benefit the mentee's future career
 
As a mentor, I can guide the mentee career pathway by: (check all that apply)
Assisting mentee in formulating their career development plan
Offering constructive feedback for mentee's CV/résumé
Identifying job possibilities for mentee
Participating with mentee in a mock job interview
Providing point(s)-of-contact for potential job(s)n
Offering ideas on how to prepare for tenure or job advancement
Reviewing/critiquing articles for journal submission
Introductions to prominent researchers in mentee's field of study
Other:
 
Activities with your mentee could include: (check all that apply)
Social events at professional society meetings
Technical presentations at professional society meetings
Education lectures with general scientific interest
Tours of mentor's research facilities
 
Activities with your mentee will NOT include:
Discussions about our personal lives or private issues
Meetings in private locations
Social environments such as restaurants
Other:
 
Additional information you would like to provide to assist in the matching process:
   

Enter Text Below:*
   
 
After submitting this application, a member of the CMDITR Mentoring Program Team will contact you within one week to discuss the details of your situation and start the process of matching you with a student mentee.
This material is based upon work supported by the STC Program of the National Science Foundation No. DMR 0120967. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the National Science Foundation.
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