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2025 Trainee Mentorship Program - Mentor Recruitment Application
General Information
1.
Full Name
2.
Email address
3.
Profession
4.
Institution/Organization
5.
Area of Expertise
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
7.
Languages Spoken
Arabic
Chinese
English
French
German
Hindi
Italian
Japanese
Portuguese
Russian
Spanish
Other (please specify)
8.
Preferred communication methods
Email
Phone
If preferred communication is phone, please enter your number below
9.
Availability
Once a week
Once a month
Once every 2 months
Once every 3 months
Other (please specify)
10.
Please confirm that you are available to invest at least 1h/month as a CCS mentor
Yes
No
11.
Headshot - For mentorship webpage
Choose File
No file chosen
12.
Short bio - For mentorship webpage
