Thank you for your interest in participating as a mentee in the IPVS Mentorship Program. The purpose of this form is to find out more about you and understand better your expectations for the mentor-mentee relationship. If this application is approved, the information you provide about yourself will help us pair you with the right mentor.

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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. City of residence

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* 5. Country of residence

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* 6. Organisation

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* 7. Position

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* 8. Your occupational setting (choose all that apply)

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* 9. Scientific track

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* 10. Specialty (choose all that apply)

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* 11. Highest/terminal degree

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* 12. Year of obtaining your highest/terminal degree

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* 13. Keywords for your professional / research interest

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* 14. What are the languages you feel comfortable speaking for professional mentoring?

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* 15. To guide the matching process, please select your top 3 preferred mentors. You can find CVs of all mentors on the link below.

  List of mentors
Mentor 1
Mentor 2
Mentor 3
Learn more about the mentors HERE.
Please be aware that there is a possibility that you may not be paired with your preferred mentor. The information provided above is intended solely for guidance.

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* 16. Tell us about your expectations and learning goals for the Mentorship Program (e.g. career development, gaining new skills, knowledge, etc; in max 150 words).

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* 17. Highlight your achievements

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* 18. Please upload your CV in English.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 19. Upload a Cover letter to share your motivation for participating in the IPVS Mentorship Program. (optional)

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