CRBLM Mentorship Program Registration (winter 2024)

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Email *

First name *

Last name *

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

If you are a STUDENT, a POSTDOC, or a RESEARCH ASSOCIATE please write the name of your supervisor

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

If you participated in our previous mentorship rounds, who were you paired with?

Preferred language

French

English

No preference

What are your expectations of the mentorship program?

Additional comments

A copy of your responses will be emailed to the address you provided.

Submit

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