Early Career Research Mentoring Enquiry Form

Please fill out the following form if you are interested in mentoring or being mentored in your early career research. We try and respond within a week.

Title Required

First Name Required

Last Name Required

Email Required

Stage of Academic Career [If mentor/mentee checked] Required

Profession Required

Profession (other)

Years Post-Qualification

Clinical Role

Academic Role [If mentor/mentee]

Main research interest(s) ** Required

Location Required

University affiliation

Interested in being a mentor?

Yes

Interested in being mentored?

Yes

Interested in assisting with NITCAR Projects?

Yes

Interested in being a NITCAR project supervisor?

Yes

Willing to have more than one mentee? [mentors only}

Yes

Comments/Specific Requirements

I confirm my details above can be used to administer the Early Career Research Mentoring Scheme and within the BIA privacy and data policies Required

Yes

I agree to the data included on this form to be shared with NITCAR Required

Yes

** Main research interest(s) e.g. ‘Let us know if there is an area of research you work in, are interested in working in, and/or if you are open to suggestions.’