CDS Mentorship Program Application Form (mentors)
Thanks for your interest in our 2023-2024 Mentorship Program at CDS. Please complete the following questions and we will be in touch with an update soon.

Please note that we will do our best to select applicants based on addressing a range of mentorship needs and based on our ability to find a good fit between potential mentors and interested mentees.

We will be initiating the matching process soon, and will contact you regarding whether we have been able to identify a mentee for you this year!
First Name *
Last Name *
Institution *
Email address (for further communication about this program) *
Current academic role *
Are you a current member of CDS? Membership is not a prerequisite for serving in the program.*
*
For each question below, please indicate whether you (1) strongly prefer, (2) prefer, or (3) are indifferent to / is not relevant for whether a mentee has the following interest areas in mentorship:
I would like a mentee who shares a specific research interest (e.g., someone who studies number; someone who works with adolescents)
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them to develop a skill (e.g., writing a grant, writing a paper, developing data science skills).
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them think about and/or apply to graduate school.
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them think about and/or apply to postdoc positions.
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them apply to academic jobs.
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them apply to non-academic jobs (e.g., nonprofit, academic administration, tech, etc).
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them discuss early career demands/the tenure track.
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee who shares an aspect of my identity (e.g. LGBTQ, Black woman, etc).
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee from a particular region or country.
*
Strongly Prefer
Indifferent/Not Applicable
I would like a mentee where I can help them discuss work-life balance.
*
Strongly Prefer
Indifferent/Not Applicable
If you selected that you prefer an option above that requires further specification (e.g., area of research; type of identity that you would like to match on; type of university you would like a mentor from; etc), please provide further details of that (those) specification(s) here.
Other: Feel free to add any pertinent information here.
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