IDM Mentorship Programme
Full Name
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Title (Example: Prof, Mrs, Mr)
First Name
Last Name
Email Address
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Please provide your UCT affiliated email address
Involvement in IDM community
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IDM Postgraduate Student
IDM Postdoctoral Research Associate
IDM PASS Staff Member
IDM Academic Staff Member
Primary Affiliation (Member Group/Division/Department)
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Involvement in Mentorship Programme
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I want to participate as a Mentor
I want to participate as a Mentee
Your Demographics: Gender
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Please Select
Female
Male
Other
Your Demographics: Age
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Please Select
45+ Years
29 - 45 Years
Less than 29 Years
How often do you think Mentors and Mentees should meet in order to develop an effective relationship?
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Every 2 weeks
Every 2 months
Monthly
About twice a year
Depends on the relationship or need
How do you think Mentor/Mentee partnerships should be matched?
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A coordinator matches Mentees with suitable Mentors
Mentees select a potential Mentor from a list of available individuals
Mentors select potential Mentees from a list of individuals wanting to be mentored
100-word Summary of Mentoring Capacity
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Mentee Information & Preferences
Do you currently have a mentor?
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Yes
No
Do you have someone in mind who you would like to approach to be your mentor?
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Yes
No
Possible mentor's full name
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(we will keep your request confidential)
Specific areas you would like to explore with your mentor & your expectations of the mentoring program?
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Preferred age of Mentor
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No preference
45+ Years
45 - 29 Years
Less than 29 Years
Prefer someone who has links/experience outside academia?
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Yes
No
Not Necessarily
Are you particularly seeking a mentor who has international experience (e.g. spent time with collaborators, time in lab, sabbatical)?
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Yes
No
Not Necessarily
Would you prefer a mentor with children/family commitments?
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Yes
No
Not Necessarily
Would you prefer a mentor who works across disciplines?
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Yes
No
Not Necessarily
Submit
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