2025 Trainee Mentorship Program - Mentor Recruitment Application

General Information

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* 1. Full Name

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* 2. Email address

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* 3. Profession

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* 4. Institution/Organization

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* 5. Area of Expertise

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* 6. Preferred Mentorship Areas

Career Planning and Progression

Research Design and Methodology

Grant Writing and Funding Strategies

Manuscript Writing and Publication

Clinical Practice Development

Work-Life Balance

Networking and Professional Relationships

Leadership and Management Skills

Transition to Independent Practice or Faculty Role

Equity, Diversity, and Inclusion in Cardiovascular Health

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* 7. Languages Spoken

Arabic

Chinese

English

French

German

Hindi

Italian

Japanese

Portuguese

Russian

Spanish

Other (please specify)

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* 8. Preferred communication methods

Phone

If preferred communication is phone, please enter your number below

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* 9. Availability

Once a week

Once a month

Once every 2 months

Once every 3 months

Other (please specify)

2025 Trainee Mentorship Program - Mentor Recruitment Application

General Information

Question Title

* 1. Full Name

Question Title

* 2. Email address

Question Title

* 3. Profession

Question Title

* 4. Institution/Organization

Question Title

* 5. Area of Expertise

Question Title

* 6. Preferred Mentorship Areas

Question Title

* 7. Languages Spoken

Question Title

* 8. Preferred communication methods

Question Title

* 9. Availability

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* 10. Please confirm that you are available to invest at least 1h/month as a CCS mentor

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* 11. Headshot - For mentorship webpage

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* 12. Short bio - For mentorship webpage