Training and Career Development Network Mentorship Program Application

Profiles of researchers who volunteer to be mentors, and their contact information, will be made available online for potential mentees. Applications, along with a headshot to be used on the mentorship program registry, can be submitted by completing the application form below. Interested trainees and early career investigators will contact potential mentors that have volunteered to be part of the mentorship program directly. Mentors will be provided with materials to assist in setting some initial goals with your mentee.

Name

Institute/Organization

Confirm email

Phone

Title; Faculty/Organization

Are you an IOC Centre Network Member?

Yes

Unknown

Current Appointment

e.g. Assistant, Associate, Full Professor

Centre Name

Biography

Please provide us with a 150-word biography to be provided on the registry to prospective mentees.

Headshot Submission

Choose file

Please provide us with a headshot to be used on the mentorship program registry.

One file only.
10 MB limit.
Allowed types: gif, jpg, png.

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.