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Mentor survey
This form is to collect information from WHPC mentors to match them with a mentee.
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* Indicates required question
Email
*
Your email
Title
First Name
*
Your answer
Last Name
*
Your answer
Please share a link to your LinkedIn profile as we would like to share it with your mentee(s)
Your answer
Please enter your Twitter handle as we would like to share it with your mentees(s)
Your answer
How would you describe your current career stage/experience (please choose the level you feel most comfortable with even if you feel you may span multiple stages)
*
Student (all levels including postgraduate and undergraduate)
Early career (within 2-7 years of finishing full-time education excluding time spent out of work on career breaks)
Mid career (within 8-14 years of finishing full-time education and/or in role where you feel you have more you wish to do but you have reached a level of achievement your happy with)
Senior (15+ years of experience and/or in a senior position/role)
Other:
Required
Please select which career level mentees you would like to be matched with (select all that you feel comfortable with)
Match with student (all levels including postgraduate and undergraduate)
Match with early career (within 2-7 years of finishing full-time education excluding time spent out of work on career breaks)
Match with mid career (within 8-14 years of finishing full-time education and/or in role where you feel you have more you wish to do but you have reached a level of achievement your happy with)
Match with senior (15+ years of experience and/or in a senior position/role)
Employment sector(s) of interest
*
Academia
Industry
Government
Non-profit
Other:
Required
Please select any of the following mentoring topics in which you would like to provide guidance
*
Applying for graduate school
Funding graduate school
Finding a research topic
Creating and carrying out a research plan
Finishing your PhD
Promoting your work
Changing disciplines or research fields
Addressing work-life balance issues
Managing time
Starting a family
Building a professional network
Addressing non-traditional career issues
Navigating next career step
Applying and interviewing for a job
Other:
Required
If a mentee requests to be matched based on demographic groups, do you agree to being matched with them if you meet their selection criteria?
Yes
No
Clear selection
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