Research Mentor

Personal Information

Name

First

Last

Email

Phone Number

City

Country

LinkedIn Profile or Professional Website

Interest all Professional

Professional Background

Current Position/Title

Organization/Institution

Highest Degree Earned

Area of Specialization

Years of Professional Experience

Expertise and Interests

Primary Field(s) of Expertise (Select all that apply):

Please Specify Primary Field of Expertise:

Areas of Interest for Mentorship (Select all that apply):

Areas of Interest for Mentorship:

Preferred Mode of Engagement

Online (Webinars, Virtual Meetings)
In-person (Workshops, Seminars)
Both

How much time can you dedicate to mentorship per month?

1-5 hours
5-10 hours
10+ hours

Would you be open to participating in group mentorship sessions or panel discussions?

Yes
No

Do you have any specific projects, ideas, or topics you'd like to mentor on?

No
Yes (Please provide details)

Projects, ideas, or topics you'd like to mentor

Supporting Documents

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Upload Additional Supporting Documents or Publications

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Agreement

I confirm that all the information provided is accurate to the best of my knowledge.

I agree to adhere to the guidelines and code of conduct for Research Mentors

Personal Information

Professional Background

Expertise and Interests

Supporting Documents

Agreement

Keep Updated

Quick Links

Contact Info

Research Mentor​

Personal Information

Professional Background

Expertise and Interests

Supporting Documents

Agreement

Keep Updated

Quick Links

Contact Info

Research Mentor