Mentorship Program Application

Thank you for your interest in our Mentorship program! Please complete the application below to the best of your ability. If you have any questions, please email us at info@sspnet.org.

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* 1. Please enter your contact information.

Name *

Organization *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code

Country *

Email Address *

Phone Number *

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* 2. Job Title

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* 3. LinkedIn Profile URL

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* 4. Career Stage

Student

0-5 years experience

6-10 years experience

11-15 years experience

16-25 years experience

26-35 years experience

36+ years experience

Retired

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* 5. Role

Academic/Researcher/Faculty

Acquisitions

Administrative

Community Management

Consultant/Independent Contractor

Customer/Account Support

Editor/Editorial Support

Executive Management

Finance

Funding/Grants

Human Resources

Legal

Librarian

Licensing/Rights Management

Marketing/Communications

Product Development/Management

Production

Project Management

Publisher/Publishing Support

Sales/Business Development

Student

Systems/Technology Support

Other (Please specify.)

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* 6. Organization Type

Commercial Publisher

Consulting

Funding/Foundation

Government

Industry Service Provider

Library

Post-Secondary Institution

Society/Association/Non-Profit Publisher

University Press

Not Applicable

Other (Please specify.)

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* 7. Organization Size

Small <50 full time employees

Medium 51-300 full time employees

Large >301 full time employees

Not Applicable

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* 8. Publishing Focus

Academic

Blogs

Books

Databases

Humanities/Social Sciences

Instructional/Technical Standards

Journals

Magazines/News

Multimedia

Museum

Open Access/Data/Science

Preprints

Proceedings/Reports

Professional/Business/Corporate

Reference Works

Repositories

Research Support

Scientific/Technical/Medical/Engineering

Technology/Infrastructure/Data

Other (Please specify.)