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CBSN Mentorship registration

Yes! I would like to join the CBSN mentoring program.

The structure of the program will depend on how many people register, and the type of mentor/mentee relationships they are seeking. Proposed models will be discussed at the next all-members meeting.
By registering your information here, you are confirming that:
  • you would like to be involved in a mentorship program through the CBSN
  • you consent to receiving communications about the network and mentorship resources.
  • you will commit to meeting with your Mentor/Mentee at least once per month
  • you will keep conversations with your Mentor/Mentee strictly confidential unless explicitly given permission to share.

1.Contact Information (*indicates a required field)(Required.)
2.Affiliation/Location  (*indicates a required field)(Required.)
3.Please select the option that best describes your current role.(Required.)
4.Please indicate your main field of research/ interest/ expertise/ practice/ application.(Required.)
5.Please indicate your interest in being a mentor, a mentee, or being involved in peer-to-peer mentorship (select all that apply).(Required.)
6.As a Mentee (or in a peer-to-peer structure), what are your top three priorities for an effective mentorship program? (NOTE: it is not realistic to expect one mentor to fulfill all of these roles, but sharing your priorities will help us design the program).
7.As a Mentor (or in a peer-to-peer structure) what are your top three priorities from the mentorship program?
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