Application form

To support Knowledge Translation (KT) in Cochrane we are piloting a mentoring scheme. KT mentoring in Cochrane is a structured, sustained relationship between two people, in which the person more experienced in a specific area of knowledge translation (mentor) uses their knowledge, experience and understanding to support the development of specific KT practices that will be used in the mentee's Cochrane KT work. 

Mentors and mentees will meet virtually (via telephone or internet) for 60 to 90 minutes per month for about six months from November 2020. More information about this mentoring scheme available here.

This form is for people who are interested in becoming a mentee.  If you are interested in being a "mentor" please use this form.

All people submitting a form will be contacted in October 2020. If you have any questions please contact Karen Head (

About you

In this section we want to find out about you. The information will only be used for the purposes of the mentoring scheme.

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* 1. Please provide your contact information.  

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* 2. Why would you like to join this scheme? 
What KT knowledge/skills do you hope to gain by participating in this scheme?

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* 3. In which languages would you be happy to speak to your mentor in?

About your KT project or activities
The following questions will help us try to match you with a mentor who has relevant experience and knowledge.
The mentoring scheme will focus on specific KT activities or projects which are being planned or run. These may include (but are not limited to):
  • developing a KT strategy for your Cochrane group,
  • identifying and developing strategic partnership with key stakeholders,
  • running a Cochrane prioritisation process,
  • creating a programme for building capacity in target audiences to use Cochrane evidence,
  • developing and implementing a plan to produce user-friendly summaries of reviews for different audiences.

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* 4. Tell us about the KT activity or project that you would like to have a mentor for:
Please include:
  • What is the aim of the project?
  • What are you planning to do?
  • What will your role be?
  • Who will be involved in the project and who is the project for? (e.g. consumers, healthcare practitioners, policy-makers or healthcare managers, researchers/research funders, other [please state])

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* 5. If you have a document which provides more details of the project you can upload it here.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 6. Please let us know any other information about yourself or your expectations of the mentoring programme that you feel will be useful when matching with a mentor.

Please read the following statements: 
If accepted on the scheme:
  • I understand that I will be a mentee with a mentor assigned to me. The relationship is 1:1 and is confidential.
  • I understand that the programme is mentee led and I shall be responsible for scheduling meetings with the mentor.
  • I understand that the commitment is for 60 to 90 minutes per month over a 6 to 9 month period (from November 2020). The meetings are likely to be 'virtual' (e.g. using internet or telephone).
  • I understand that I will be asked to participate in evaluation of the scheme.
  • I understand that if I have any issues or concerns around mentor/mentee relationship I can contact the programme coordinator (

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* 7. I understand and agree to the above statements