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CBSN Academic Supervisor – Intake and Eligibility Form

CBSN-Mitacs Research & Innovation Black Internship Program

Academic Supervisors play a vital role in mentoring CBSN trainees and supporting their professional and research development through an internship placement supported jointly by CBSN and Mitacs.
This pilot will launch summer 2026, with placements beginning approximately four weeks after submission approval. Supervisors are expected to commit to approximately 4 month engagement, providing mentorship, guidance, and progress oversight throughout the internship.

Please complete this short form to confirm your eligibility and provide information for the CBSN team to review your application.
Section 1: Role Overview
Academic Supervisors provide mentorship and guidance to CBSN members participating in the CBSN–Mitacs internship program. They support interns’ professional development, ensure alignment with program objectives, and contribute to a positive learning and research experience. Supervisors also serve as the fiscal agents for internship grants, overseeing the administration of student stipends through their academic institution.

Key Responsibilities:
- Guide and support interns during their work placement.
- Provide feedback on interns’ progress and professional growth.
- Serve as a liaison between the student, CBSN, Mitacs, and the host organization.
- Facilitate onboarding of the student at their academic institution to process internship stipend payments.
- Participate in approximately 8 hours of engagement over an approximate 4 months duration of the program, including regular check-ins with the student.
- Monitor progress and report outcomes as required by CBSN and Mitacs.

Qualifications:
- Demonstrated experience mentoring or supervising students or interns.
- Excellent communication and interpersonal skills.
- Commitment to fostering inclusive, equitable mentorship.
- Faculty appointment at a Canadian institution, eligible to hold Tri-Council (SSHRC, NSERC, or CIHR) funding.
- Applicants do not need to be current members or nominated allies of CBSN at the time of application. Successful supervisors will be invited to join the CBSN network or ally community to support continued collaboration and knowledge sharing.

Program Duration:
Academic Supervisors are typically engaged for approximately 4 months, depending on the project.
Section 2: Professional Information
1.Name (First Last)(Required.)
2.Institutional Affiliation(Required.)
3.Province & Country(Required.)
4.Department/Division(Required.)
5.Title(Required.)
6.Institutional Email Address(Required.)
7.Discipline or Area of Research:(Required.)
8.Link to your Google Scholar, ORCID, or Institutional Profile(Required.)
9.Please provide a short description of your research focus (5–6 sentences) and your mentorship philosophy (3-4 sentences).(Required.)
Section 3: Eligibility Questions
10.Are you a current member of the Canadian Black Scientists Network (CBSN)?(Required.)
11.Are you available to supervise (i.e., provide mentorship and guidance) an approximately 4 -month internship placement and dedicate approximately 8 hours total to check-ins and mentorship through the program duration?(Required.)
12.Can you commit to fostering an inclusive, supportive, and equitable mentorship environment for CBSN interns?(Required.)
13.Do you have prior experience mentoring or supervising students, interns, or trainees?(Required.)
14.Are you currently affiliated with a Canadian academic institution and eligible to hold Tri-Council (SSHRC, NSERC, or CIHR) funding?(Required.)
15.Are you willing to onboard the student at your institution to facilitate payment of the internship stipend?(Required.)
Section 4: Consent and Submission
16.By submitting this form, you confirm that all information provided is accurate and that you meet the eligibility criteria for the CBSN Academic Supervisor role.(Required.)
17.I consent to CBSN contacting me regarding this opportunity and to my information being shared with Mitacs for program coordination purposes.(Required.)
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