Foster. Lead. Promote. - Application form One-to-One Mentoring
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Email *
First Name *
Last Name *
Date of birth *
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Work phone# *
ETH institution *
Required
Department, institute: *
Work address *
Current position in ETH institution *
Start date in the current position *
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Type of contract *
Contract until *
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Will this contract probably be renewed? *
Most probably until when? *
Professional background *
Please describe your expectations regarding the mentoring and why it would be crucial for you at this stage of your career. *
Please write 3 to 5 sentences
Please describe your career objective for the next five years. *
What would be your preferred career development topic(s) for the mentoring? Please describe why. *
Potential Mentor 1: Name, function, university & department or institution/firm
Please indicate reasons why you would want this person to be your mentor.
Potential Mentor 2: Name, function, university & department or institution/firm
Please indicate reasons why you would want this person to be your mentor.
If you don’t have any suggestions about a potential mentor, please indicate below: whether you will rather have a female or male mentor. This helps the project office regarding the matching process. *
Required
As per the above question, would you rather have a mentor from Academia or Industry? *
Required
And last, as per the above questions, would you rather have a mentor from the same research field or a different one? *
Required
Did you already participate in another mentoring program or are you currently in an application process for another mentoring program? *
In which program did you already participate?
Please send your CV via Switchfilesender to chantal.mellier@epfl.ch. Files should be uploaded in PDF format, and named LastnameFirstname ONLY
Files should be uploaded in PDF format, and named LastnameFirstname ONLY
If you will be admitted to the one-to-one mentoring, would you agree that the FLP project coordination sends your application incl. CV and publication (and/or patent) list to a (potential) mentor? *
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