SRI Mentee Introductory Questionnaire
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Name
Institution
Current Position
Years since your most advanced degree
Email
Why are you looking for a Mentor within SRI?
What would you like to focus on with your mentor? (please rank these options) *
1 (most important)
2
3
4
5
6
7
8 (least important)
Career advice
Grant submission support
Job application support
Letters of recommendation
Networking
Work-life balance/time management
Advice regarding clinical guidelines and practices
Advice in your basic science field
How often would you like to meet with your Mentor?
Clear selection
How would you prefer to communicate with your Mentor? Check all that apply
Would you say you are looking for a mentor who:
Clear selection
Submit
Clear form
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