Please, fill some information about you, your availability and preferences.

Mentorship is a non-formal educational tool for professional development and provides benefits for both the mentee and the mentor. ESPNIC Mentorship program would like to support career development and job satisfaction for less experienced colleagues from all backgrounds and disciplines. It aims at creating a valuable network and increase knowledge sharing, improve interpersonal and communication skills.

Mentor mentee relationship built out of personal connection and mutual respect. 


More information can be found on the ESPNIC Website.

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* 1. Your name:

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* 2. Personal address:

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* 3. City of residence:

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* 4. Country of residence:

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* 6. Email

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* 7. Organization and department:

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* 8. You are working/specialising in....

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* 9. Position:

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* 10. Qualifications

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* 11. Languages spoken:

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* 12. Would you prefer to have your mentor in your own language?

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* 13. Which aspect of ESPNIC mentorship would you like to apply for? (tick all that apply)

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* 14. Have you been part of Mentorship program before?

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* 15. What is your preference of communication with your mentee? (tick box)

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* 16. Please Upload you CV

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* 17. Please explain why you want to apply for the ESPNIC mentorship program? (free text, max 300 words)

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* 18. What goals do you want to achieve in the mentoring process which lasts 12 months to 2 years? (free text, max 200 words)

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* 19. What is the most important thing you would like your mentor to work with you on? (free text, max 100 words)

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