Mentee form Mentee form Name * Name First First Last Last Date of Birth Email * How do you describe yourself? * Female Male Non-binary/a gender not described here What is current position? * Would you like to be matched with a mentor that identifies themselves as…? * Female Male Non-binary/a gender not described here No preference Would you like to be matched with a mentor that has experience in…? * Academy Industry Both No preference How often would you like to meet? * Twice per month Once per month Every two months Every three months OtherOther Which are your main scientific interests? * Would you like the reasearch interests of the mentor to… * match yours. preferably match yours, but it is not mandatory. be different from yours. You have no preference. Which language would you speak? * English My native language, specify if different from English:My native language, specify if different from English: Are you interested in the university system of a specific country? * No Yes, specify:Yes, specify: Would you like a mentor… Approximately your age Older than you No preference. Which topic would you like to discuss with your mentor? (e.g. career development, time management, grant writing, leadership) * I confirm that I am an ECA member. * Yes I understand and consent that my data are collected by GIG-01, General Interest Group within the European Crystallographic Association, only within the scope of a mentoring project and that I can withdraw my consent at any time by sending an email to eycryst@gmail.com * I agree Submit If you are human, leave this field blank.
