Application form

To support Knowledge Translation (KT) in Cochrane we are piloting a mentoring programme. This will match people who have experience of delivering KT activities (mentors) with people in Cochrane who are planning or running  KT project/activities (mentees) in order to support the development of skills and knowledge.

Mentors and mentees will meet virtually (via telephone or internet) for 60 to 90 minutes per month for six months between September 2019 and February 2020. More information about this pilot programme is available here.

This form is for people who are interested in becoming a mentee.  If you are interested in being a "mentor" please use this form.

All people submitting a form will be contacted in August. If you have any questions please contact Karen Head at khead@cochrane.org.

Question Title

* 1. Please provide your contact information. 
(Please note, this will only be used for the purposes of the mentoring programme.)

The following questions will help us try to match you with a mentor who has relevant experience and knowledge.

Question Title

* 2. Why would you like to join this scheme? What KT knowledge/skills do you hope to gain by participating in this scheme?

Question Title

* 3. In which languages would you be happy to speak to your mentor in?

The pilot scheme will focus on specific KT activities or projects which are being planned or run. These may include (but are not limited to):

  • developing a KT strategy for your Cochrane group,
  • identifying and developing strategic partnership with key stakeholders,
  • running a prioritisation process,
  • creating a programme for building capacity in target audiences to use Cochrane evidence,
  • developing and implementing a plan to produce user-friendly summaries of reviews in different languages.

Question Title

* 4. Tell us about the KT activity or project that you would like to have a mentor for:
For example: What is the aim of the project?  
What are you planning to do?
What will your role be? 
Who will be involved in the project and who is the project for? (e.g. consumers, healthcare practitioners, policy-makers or healthcare managers, researchers/research funders, other [please state])

Question Title

* 5. If you have a document which provides more details of the project you can upload it here.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

Question Title

* 6. Please let us know any other information about yourself or your expectations of the mentoring programme that you feel will be useful when matching with a mentor.

Please read the following statements: 
If accepted on the scheme:
  • I understand that I will be a mentee with a mentor assigned to me. The relationship is 1:1 and is confidential.
  • I understand that the programme is mentee driven and I shall be responsible for scheduling meetings with the mentor.
  • I understand that the commitment is for 60 to 90 minutes per month over a 6 month period (Sep 2019 to Feb 2020). The meetings are likely to be 'virtual' (e.g. using internet or telephone).
  • I understand that I will be asked to participate in evaluation of the scheme after the pilot programme has completed.
  • I understand that if I have any issues or concerns around mentor/mentee relationship I can contact the programme coordinators at khead@cochrane.org.

Question Title

* 7. I undestand and agree to the above statements

T