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CSEB Application Form for Mentees | SCEB Formulaire de demande pour les mentorés
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Application
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1
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2
Confirmation
First Name
Last Name
Email Address
How would you describe your gender?
How would you describe your race/ethnicity?
What is your preferred language
Please select
English
French
Discipline (please select)
Please select
Epidemiology
Biostatistics
Other (please specify)
If other please specify
Career stage (please select)
Please select
Undergraduate student
Master’s student
PhD student
Postdoctoral fellow
Early career professional
Other (please specify)
If other please specify
Institution
Research interests (please provide up to 5 keywords)
What are you seeking mentorship for?
Please select
Career growth
Technical skills
Leadership experience
Industry knowledge
Networking
How long do you want to be involved in the mentorship?
Please select
1 year
2 years
3 years
Are there any attributes you would prefer in a mentor? (e.g., being matched to a mentor of the same gender – note that our ability to honour such requests depends on the availability of suitable mentors)
Submit