Thank you for your interest in becoming an OIST Innovation Mentor or Reviewer. Please take a few minutes to fill out the form below so that we can get to know you better. We promise not to share your information.
 
Visit our website to learn more about OIST Innovation Mentors and Reviewers.

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* 1. Title

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* 2. First Name

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* 3. Last Name

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* 4. Email

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* 5. LinkedIn or Other Professional Website (optional)

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* 6. Educational Background

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* 7. Current Position Title

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* 8. Current Affiliation (university, company, etc.)

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* 9. Country where you are primarily located

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* 10. Tell us more about your background

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* 11. Areas of Interest/Expertise

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* 12. Three keywords that classify your expertise

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* 13. In what capacity are you interested in helping out?

Mentor: Voluntary commitment of 2 hours per month of office hours with specific research teams or startups (matched by mutual agreement)
Reviewer: On-call to review grant proposals, pitch decks, business plans, etc.

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* 14. How did you hear about this opportunity?

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* 15. Upload Your CV (optional)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 16. Your Privacy and Personal Information

a) OIST will manage the information provided in compliance with OIST’s policies, including section 12.3.8 (Protection of Personal Information) of OIST's Policy Rules and Procedures.
b) OIST shall not disclose personal information to any third party except when:
    i. a written consent has been obtained;
    ii. required by law, the rules of self-regulatory organizations such as stock exchanges, or the orders or requests of public institutions;
    iii. when the information is provided in such a way that no individual can be identified.

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