Screen Reader Mode Icon

Question Title

* 1. How many years you have participated in MICCAI?

Question Title

* 2. What is your research experience in the MICCAI field?

Question Title

* 3. Which of the following best describes you?

Question Title

* 4. Have you participated as a mentee in the MICCAI mentorship program before?

Question Title

* 5. Would you like to receive mentorship in any of the following fields? Please check only one or two areas

Question Title

* 6. Would you be interested in receiving mentorship to learn about or overcome the challenges of any of the following areas? Please check only one or two areas

Question Title

* 7. How often would you like to meet with your MICCAI mentor?

Question Title

* 8. How long would you like your mentorship relationship to last?

Question Title

* 9. How would you prefer meeting with your mentor?

Question Title

* 10. Are you comfortable receiving mentorship in English?

*Note that we may not be able to offer this option.
Confidential demographic information. This information will not be shared and only be used to personalize the mentorship experience.

Question Title

* 11. What is your age?

Question Title

* 12. What is your gender?

Question Title

* 13. How would you describe your race/ethnicity?

Question Title

* 14. What is your highest degree?

Question Title

* 15. What is your professional affiliation?

Question Title

* 16. In what country are you based?

Question Title

* 17. Do you belong to any minority or underrepresented group?

Question Title

* 18. Do you have any suggestions for the MICCAI Mentorship program?

0 of 18 answered
 

T