Thank you for your interest in participating in the Heyrovský Institute Mentoring Programme 2026/2027.
Please complete the application form carefully. The information provided will help us understand your motivation and needs. It will also serve as an important basis for identifying a suitable mentor, so that we can create the conditions for meaningful and productive collaboration.

The application deadline is 30 September 2026.

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* 1. Brief introduction:

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* 2. In which areas do you need mentoring support?
Please tick all that apply.

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* 3. Requirements for collaboration:

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* 4. Preferred communication language:

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* 6. The mentor should ideally come from:

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* 7. I would prefer my mentor to be:

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* 8. Other requirements, please specify.

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* 9. Name (including academic titles):

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* 10. Telephone number:

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* 11. What are your current positions or roles?

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* 12. Which institutions are you currently professionally or academically affiliated with?

Thank you for completing the questionnaire, for your time, and for your willingness to participate in the Mentoring Programme.
Should you have any questions, please contact: mentoring@jh-inst.cas.cz.

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* 13. I consent to the processing of my personal data for the purposes of organising and implementing the mentoring programme.

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