LifETIME Online Mentor Form

Page 1: Online Mentor Form

About the Mentor (Please note that all information provided within this section will be shared with your mentee following the matching process)

1.1. Name Required

2.2. Email Required

3.3. Company Required

4.4. Position Required

5.5. Bio Required

Mentorship Support

6.6. PhD support - Can you provide mentorship support from a senior PhD students/PDRA/academics prospective?

Yes

No

7.7. Scientific support - Advice on research fields

Yes - please answer question 7a

No

a.7.a. If you answered "Yes" to Q.7 please select from the following options below:

Fluid Mechanics

Material science

Cell and Tissue Engineering

Drug Discovery

Bioengineering

Cell sensing, testing

Other

i.7.a.i. If you selected Other, please specify:

8.8. Career support - Advice and support on longer term career advancements

Yes - please answer question 8a

No

a.8.a. If you answered "Yes" to Q.8 please select from the field(s) below:

Academia

Industrial

R&D

Marketing and communication

Business

Placement opportunities

General career support

Other

i.8.a.i. If you selected Other, please specify:

9.9. Skills training advice - Guidance on how to develop professional skills

Yes - please answer question 9a

No

a.9.a. If you answered "Yes" to Q.9 please select from the following options below:

Communication

Organisational

Networking

Leadership

Scientific writing

Academic writing

Other

i.9.a.i. If you selected Other, please specify:

10.10. Inclusion support

Yes - please answer question 10a

No

a.10.a. Please select any of the areas below that you would be happy to discuss with your mentee:

Work/life balance

BAME

LGBTQ+

Neurodiversity

Wellbeing

Other

i.10.a.i. If you selected Other, please specify: