Mentor Application 2018-2019

Dear Potential Mentor,

Thank you for your interest in being a mentor for MASS AWIS Mentoring Circles! Please read ALL details below before filling out the application.

What are Mentoring Circles?
An AWIS Mentoring Circle is a small group of women (sometimes male) scientists committed to meeting on a regular basis. Our goal is to foster a supportive environment for mentees and to provide them with practical tools for setting career development goals and building competencies to achieve those goals. A circle typically consists of 3-5 peers, 1-2 mentors and one connector. The responsibility of a mentor is to help guide and promote productive discussions in the circle during the regular circle meetings. For more information please see the MASS AWIS mentoring circles website:

**What is the expected time commitment?**
Please expect to dedicate a minimum of 2-3 hrs/session/month. Please note that most circles meet on the weekdays after work but it is up to the discretion of the circle. You will also be required to attend the Kick-Off event tentatively scheduled in late September, two mentor training workshop (October and December 2018), and the End-of-Year Celebration Event in May 2019.

By filling up the application, you have indicated your commitment and dedication to the mentoring program.  Your responses will help the Mentoring Committee to match you with an appropriate circle based on interest, career goals, geography and other factors, to ensure the best and most productive mentoring experience for you and the circle. A phone interview will be conducted in late July - early Aug. We will notify you of a match by the end of Aug. Please note that it is possible that based on the number of mentees signed up, we might not have a match for you as a Mentor.

Note: MASS AWIS membership is encouraged, but not required to participate

Thank you again for your commitment and we look forward to working with you! 
~The MASS AWIS Mentoring Committee

* 1. Contact information:

* 2. Gender

* 3. Education

* 4. What is your current job position/ title?

* 5. Where do you currently work?

* 6. What is your field of expertise?

* 9. Have you previously served as a Mentor?

* 10. Have you been a Mentee yourself?

* 11. Why are you interested in being a mentor?

* 12. What professional and soft skills can you offer to mentees for mentoring them in their professional growth?

* 13. Please select the most important area you would be interested in addressing in your mentoring circle.

* 14. Please select the second most important area you would be interested in addressing in your mentoring circle.

* 15. In general, our mentoring circle will meet at least once a month. When would be the best time for you to meet with your circle? 

* 16. Where would you be available to meet with your Mentoring Circle? (check all that apply)

* 17. We all work in an environment with both male and female colleagues. This year AWIS will be offering a few mentoring circles co-led by male and female mentor pairs. Do you have any objections to sharing the Mentor role with a mentor of the opposite gender?

* 18. Is there anything else you would like to tell us about yourself that could help us match you to a mentoring circle?

Thank you for completing this survey and for your interest in getting involved with the Mass-AWIS Mentoring Circle Program. If you have any further questions you may contact Gar Yee Koh (, Rona Oran ( or Elif Karaca (

You will be contacted by late Aug regarding your application. Thank you for your application!