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2025 Mentoring Program
MENTEE APPLICATION
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1.
Title
(Required.)
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2.
First Name
(Required.)
*
3.
Last Name
(Required.)
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4.
Role
(Required.)
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5.
University
(Required.)
*
6.
Email
(Required.)
7.
Will you be affiliated with your university for the next 12 months?
Yes
No
Maybe (please explain)
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8.
Briefly describe your disciplinary area, research area and interests
(Required.)
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9.
What are your professional goals for the next 12 - 24 months?
(Required.)
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10.
Please indicate areas you would like mentoring in?
This information will be used to connect mentors and mentees with one another.
(Required.)
*
11.
Have you discussed your application to be a mentee with your university Council member?
(Required.)
Yes
No
12.
You can nominate up to three mentors from the DASSH mentor database.
You can See Mentor profiles here
13.
Is there any other information you wish to include which is relevant for connecting you to a suitable mentor?
