IDM Mentorship Programme
Full Name
*
Title (Example: Prof, Mrs, Mr)
First Name
Last Name
Email Address
*
Please provide your UCT affiliated email address
Involvement in IDM community
*
IDM Postgraduate Student
IDM Postdoctoral Research Associate
IDM PASS Staff Member
IDM Academic Staff Member
Primary Affiliation (Member Group/Division/Department)
Involvement in Mentorship Programme
*
I want to participate as a Mentor
I want to participate as a Mentee
I want to participate as both a Mentor and a Mentee
Career Stage
*
Honours student
MSc student
PhD student
Postdoctoral researcher
Early-career academic
Mid-career academic
Senior academic
PASS staff
Other
Your Demographics: Gender
Please Select
Female
Male
Other
Your Demographics: Age
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?
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?
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
Would you be interested in mentorship-related events (e.g. group sessions, panels, workshops), even if not matched in a one-on-one mentorship pair?
Yes
No
Maybe
Mentor Information & Preferences
Please briefly describe the type of mentorship you could offer (this may include academic, professional, or personal-development areas such as career progression, leadership, grant writing, work–life balance, parenting/family, transitioning out of academia, etc.) and your mentoring capacity (number of contact sessions per year and mode of contact; i.e., in-person or virtual, or both).
How many mentees would you realistically be able to take on?
1
2
3 or more
Depends / flexible
Mentee Information & Preferences
Do you currently have a mentor?
Yes
No
Do you have someone in mind who you would like to approach to be your mentor?
Yes
No
Please provide possible mentor's full name & affiliation
(we will keep your request confidential)
Specific areas you would like to explore with your mentor & your expectations of the mentoring program?
Preferred age of Mentor
No preference
45+ Years
45 - 29 Years
Less than 29 Years
Prefer someone who has links/experience outside academia?
Yes
No
Not Necessarily
Are you particularly seeking a mentor who has international experience (e.g. spent time with collaborators, time in lab, sabbatical)?
Yes
No
Not Necessarily
Would you prefer a mentor with children/family commitments?
Yes
No
Not Necessarily
Would you prefer a mentor who works across disciplines?
Yes
No
Not Necessarily
Submit
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