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* 1. Name

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* 2. Last Name

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* 3. Email address

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* 4. Degree and year of start/end

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* 5. Master (if applicable) and year of start/end

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* 6. Years after PhD (if applicable)

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* 7. Years in UK

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* 8. Current position

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* 9. Current institution

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* 10. Primary research area

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* 11. Secondary research area

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* 12. Previous positions (if applicable)

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* 13. You have experience in…
Choose 10 topics and range from 1 (lowest experience) to 10 (highest experience). These will be the topics considered in the matching process. We advise to read all different options before selecting your preferences.

  1 2 3 4 5 6 7 8 9 10
Progression in academia
Alternatives to academia
Progression in Industry
Interview process
Funding application (fellowship, projects)
Communication skills (presentation, writing)
Project management and leadership
Group working skills
Time management
Networking skills
Work-life balance
UK research system
Spanish research system
Developing confidence
Career experience for women
Consulting
Teaching
Innovation
Patents
Sales and marketing

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* 14. Reasons for joining the SRUK Mentoring programme

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* 15. Do you have any experience in Mentoring (i.e. as a Mentee or Mentor)?

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* 16. Have you had mentoring training?

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* 17. Can we share these data with your mentee?

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* 18. Number of mentees that you could mentor at the same time

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* 19. Can we contact you to share your experience about this programme in other SRUK events?

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* 20. How did you hear about us?

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* 21. Is there any other comment or information you would like to share with the SRUK Mentoring committee?

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* 22. I understand that as a mentor I need to develop further my mentoring skills and I commit to attend the SRUK Training Webinar.

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* 23. I understand that as a mentor I will keep the Information exchanged with my mentee, written or verbal, strictly confidential.

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