Application Form

To support Knowledge Translation (KT) in Cochrane we are running 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 approximately 60 to 90 minutes per month for about six to nine months from November 2020. More information about the mentoring scheme is available here.

This form is for people who are interested in becoming a mentor.  If you are interested in being a "mentee" 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
This section aims to find out more information about you. It will only be used for the purposes of the mentoring programme. 

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* 1. Please provide your contact information.  

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* 2. Which language(s) would you be happy to talk to your mentee in?

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* 3. Have you had experience of being a mentor before?

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* 4. Why would you like to be a mentor?

About your knowledge translation experience
This section aims to find out more information about your knowledge translation skills and experience. This will help us link you with a mentee with a relevant project.

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* 5. What are your main KT experiences and skills that you have that you feel would be relevant for this scheme?

For example; developing a KT strategy, stakeholder mapping and engagement, running a prioritisation process, disseminating evidence, building capacity for evidence use, advocating for evidence, evaluating your KT activities.

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* 6. With which audiences have you had experience of completing knowledge translation projects with? 

For example; consumers and the general public, healthcare practitioners, policymakers and healthcare managers, researchers or research funders, journalists, medical librarians or guideline developers

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* 7. Are there any areas of knowledge translation that you do not feel confident to mentor on?

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* 8. 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 mentee.

Please read the following statements:

If accepted on the scheme:
  • I understand that I will be a mentor with a mentee assigned to me. The relationship is 1:1 and is confidential.
  • I understand that the programme is mentee led and I shall promptly respond to the mentee when scheduling meetings.
  • 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 the mentor/mentee relationship I can contact the programme coordinator (

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* 9. I understand and agree to the above statements