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CRBLM Mentorship Program Registration (winter 2020)
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* Required
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Membership status
*
Graduate member (Master's student)
Graduate member (PhD student)
Postdoctoral member
Research associate member
Regular member
Collaborating member
Other:
Affiliation
*
McGill University
Université de Montréal
Université du Québec à Montréal
Concordia
Department/school
Your answer
If you are a STUDENT, a POSTDOC, or a RESEARCH ASSOCIATE please write the name of your supervisor
Your answer
Would you like to be a mentor or a mentee?
*
Mentor
Mentee
Both (we will try to pair you twice)
Required
Have you participated in the CRBLM's previous mentorship rounds?
*
Yes
No
If you participated in our previous mentorship rounds, who were you paired with?
Your answer
Preferred language
French
English
No preference
What are your expectations of the mentorship program?
Your answer
Additional comments
Your answer
A copy of your responses will be emailed to the address you provided.
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