APEN Mentoring Scheme Registration - Mentees
Exit this survey

1. Mentee Registration

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1. Thank you for your interest in being mentored. Please answer the following questions to allow us to match you with a suitable mentor.

Thank you for your interest in being mentored. Please answer the following questions to allow us to match you with a suitable mentor. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

2. What is your gender?

What is your gender? Female

Male

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3. What year were you born? (4 digits only)

What year were you born? (4 digits only)

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4. Please provide a short biography (up to 200 words) that we can show prospective mentors. Tell us about your background and areas of interest.

Please provide a short biography (up to 200 words) that we can show prospective mentors. Tell us about your background and areas of interest.

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5. Why are you interested in being mentored?

Why are you interested in being mentored?

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6. This is a peer mentoring scheme where the mentor mainly assists you by asking probing questions and helping you achieve your longterm professional goals. Your mentor does not need to be a specialist in your field of work. So bearing that in mind, are there any other characteristics in the mentor you are looking for?

This is a peer mentoring scheme where the mentor mainly assists you by asking probing questions and helping you achieve your longterm professional goals. Your mentor does not need to be a specialist in your field of work. So bearing that in mind, are there any other characteristics in the mentor you are looking for?

7. Thank you for your responses. We will contact you when we have analysed all the results and discuss the pairing with you. Do you have any questions or comments about the mentoring scheme at this stage?

Thank you for your responses. We will contact you when we have analysed all the results and discuss the pairing with you. Do you have any questions or comments about the mentoring scheme at this stage?

APEN Mentoring Scheme Registration - MenteesExit this survey

1. Mentee Registration

*1. Thank you for your interest in being mentored. Please answer the following questions to allow us to match you with a suitable mentor.