Expression of Interest for Mentees

First name (required) *

Last name (required) *

Disciplinary affiliation: (required) *

Institutional affiliation: (required) *

Position/Stage of degree: (required) *

Your Email (required) *

SRS member (SRS membership is obligatory for mentees):(required) *

Yes
No

Please write a short bio that we can send to your potential mentor (100-150 words): (required) *

Please outline your goals for mentoring. What sorts of things would you like to get out of the mentoring program? Please be as specific as possible. You can find the sorts of things our mentors are particularly interested in working on here (required): *

Do you have a specific person in mind as a potential mentor? If not, what sort of mentor would you like to work with? (required) *

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