BAP Education: Mentoring Scheme

Name: Please enter your name.

Current Position: Postgraduate Postdoc Other (Please specify below)

Work Mailing Address: Mailing Address is required.

Telephone: Telephone is required.

Email: A valid email addres is required.Invalid email format.

Research Area: Research Area is required.

Expiry date of current contract: (if fixed term)

Please complete the sections below as fully as possible so that we can obtain the best match possible in your mentoring relationship.

Brief Description of Career to Date: You may wish to attach a copy of your CV below

Upload CV: PDF or Word document preferred

Qualifications and membership of professional organisations:

What do you like to do in your spare time?

What 5 words would a close friend use to describe you?

In which areas would you like to gain help from the mentoring scheme?
Further career/realising potential
Particular difficulties in working environment
Returning to work after a career break
Health problems/disabilities
Gaining entry to association (please specify below):

Combining study and work
Career progression to senior positions
Improving work life balance
Juggling work/study and children (please state number):
Other caring responsibilities (please specify below):

How do you think you might specifically benefit from having a mentor? Your personal and career development plan might help you formulate objectives to achieve in your mentoring relationship

What are important considerations when matching you with a mentor? e.g. a similar background, interests, career progression, woman returner, experience in a certain field, industrial scientist

Additional information: Please include anything which might influence matching eg your personality type, learning style, travel patterns etc

Many thanks for completing this questionnaire. The details provided will be stored safely and confidentially and used only for the BAP Mentoring Scheme. All applications submitted will be followed up as soon as possible, with an email from the BAP Education Development and Delivery Coordinator (Katie Hewitt).

If you are not one of the first 12, do you wish your application to be kept on record for contacting next year?
Yes, keep my details for next year

Dr Katie Hewitt (BAP Education Development and Delivery Coordinator)