WES Mentoring Programme 2021 - Mentee application form
The World Endometriosis Society has developed a mentoring programme to support early-career scientists or clinicians working on endometriosis or seeking to develop their expertise in this field.

Its objective is to facilitate individual virtual meetings between mentees (early-career scientists or clinicians) and mentors (mid-career/senior scientists or clinicians) on a regular basis during a calendar year – quarterly at least, more often if desired. During these meetings, mentor-mentee pairs discuss the mentee’s career goals, and mentors offer guidance, support, and career advice to their mentee.

This form is intended to record applications from mentees; it collects information that will help us match mentees to mentors based on a number of criteria including mentoring domain of interest, expertise in endometriosis, or language.

The deadline for completing this form is 15 January 2021.

Thank you in advance for your application!
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Email *
First name *
Last name *
Gender *
Are you a WES member? *
Clinician or scientist? *
What is your current professional title? *
What is the name of your current institution? (please specify University and/or hospital/clinic if applicable) *
In which city and country do you work? *
Number of years of professional experience (including PhD/medical residency) *
Please describe your motivation to become a mentee in the WES mentoring programme: *
Please rank the following domains according to your interest in getting guidance (from 1: most interested to 8: least interested) *
1
2
3
4
5
6
7
8
Academic careers
Careers in the private sector
Day-to-day research work
Day-to-day clinical work
Combining research with clinical work
Career development
Work/life balance
Soft skills
Are there any other domains in which you would like to be mentored? *
In which languages would you be comfortable to communicate with your mentor? *
Required
If you have any questions or comments, please feel free to leave them below:
Thank you for your application!
Many thanks for taking the time to fill in this form, and thank you for your interest in the WES Mentoring Programme. If you have any questions, please contact us at office@endometriosis.ca. Otherwise we will get back to you over the course of January with information on the start of the programme.
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