Yes! I would like to join the CBSN mentoring program.

The structure of the program will depend on how many people register, and the type of mentor/mentee relationships they are seeking. Proposed models will be discussed at the next all-members meeting.
By registering your information here, you are confirming that:
  • you would like to be involved in a mentorship program through the CBSN
  • you consent to receiving communications about the network and mentorship resources.
  • you will commit to meeting with your Mentor/Mentee at least once per month
  • you will keep conversations with your Mentor/Mentee strictly confidential unless explicitly given permission to share.

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* 1. Contact Information (*indicates a required field)

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* 2. Affiliation/Location  (*indicates a required field)

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* 3. Please select the option that best describes your current role.

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* 4. Please indicate your main field of research/ interest/ expertise/ practice/ application.

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* 5. Please indicate your interest in being a mentor, a mentee, or being involved in peer-to-peer mentorship (select all that apply).

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* 6. As a Mentee (or in a peer-to-peer structure), what are your top three priorities for an effective mentorship program? (NOTE: it is not realistic to expect one mentor to fulfill all of these roles, but sharing your priorities will help us design the program).

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* 7. As a Mentor (or in a peer-to-peer structure) what are your top three priorities from the mentorship program?

 
 50% of survey complete.

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