IDM Mentorship Programme

IDM Mentorship Programme
Full Name

Title (Example: Prof, Mrs, Mr)First NameLast Name
Email Address
Please provide your UCT affiliated email address
Involvement in IDM community
Primary Affiliation (Member Group/Division/Department)
Involvement in Mentorship Programme
Career Stage

Other
Your Demographics: Gender
Your Demographics: Age
How often do you think Mentors and Mentees should meet in order to develop an effective relationship?
How do you think Mentor/Mentee partnerships should be matched?
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?
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?
Mentee Information & Preferences
Do you currently have a mentor?
Do you have someone in mind who you would like to approach to be your mentor?
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
Prefer someone who has links/experience outside academia?
Are you particularly seeking a mentor who has international experience (e.g. spent time with collaborators, time in lab, sabbatical)?
Would you prefer a mentor with children/family commitments?
Would you prefer a mentor who works across disciplines?
Should be Empty:

IDM Mentorship Programme

Mentor Information & Preferences

Mentee Information & Preferences