Thank you for your interest in participating as a mentor in the Heyrovský Institute Mentoring Programme 2026/2027.
Please complete the application form carefully. The information provided will help us understand your experience, motivation, and capacity to participate in the programme. It will also serve as an important basis for matching mentors with mentees, so that we can create the conditions for meaningful and productive collaboration.

The application deadline is 13 September 2026.

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* 1. Brief introduction:

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* 2. Motivation to become a mentor:

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* 3. Areas in which I can provide mentoring support:

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* 4. Requirements for collaboration:

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* 5. Preferred communication language:

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* 6. I am currently affiliated with (please select all that apply):

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* 7. Name (including academic titles):

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* 8. Telephone number:

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* 10. What are your current positions or roles?

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* 11. Which institutions are you currently professionally or academically affiliated with?

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* 12. I consent to the publication of my profile on the Heyrovský Institute website (mentor profile and photograph only).

Thank you for completing the questionnaire, for your time, and for your willingness to participate as a mentor.
Should you have any questions, please contact: mentoring@jh-inst.cas.cz.

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