ECTS Academy Mentor Scheme

Application Form

Please fillout the application form and send your application and your CV. A confirmation email will be sent to you after you submit this form and you will be notified during the first week of May 2017 on the status of your Mentor matching.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
ECTS Membership Number*
If you don't know your ECTS Membership number or if you are not an ECTS member, please contact ECTS at ects@hg3.co.uk. More information on ECTS membership is also available at http://ectsoc.org/membership/individual-membership/
Job Title*
Affiliation*
Phone
Research / Professional Area
Sub-specialty
Date of PhD or equivalent*

DD
MM
YYYY
List of Mentors*

Please suggest 3 potential mentors from the list of mentors provided at http://ectsoc.org/wp-content/uploads/2017/02/ECTS-Academy_mentors.pdf
Brief overview of your professional experience and research interest*
e.g. What are your past positions? What is your current position and until when will it continue? What is your research focus?
Motivation*
e.g. Why do you want to be in this programme? In which aspects, do you expect to benefit from the mentoring relatioship? Which topics would you like to discuss with your mentor? If you wish, suggest the frenquency and mode of meetings you would require with your potential mentor.
Plans for the future*
e.g. Where do you want to be professionally in 3 years from today? What are your long term plans? Which professional position do you aim for?
Submit your CV*