CPHS 2022 Mentors sign-up
Please use this form to sign up to serve as a Mentor for participants in the CPHS 2022 Fellows program, which will reimburse travel and registration costs for approximately 10 students and early-career researchers from historically-underrepresented groups affiliated with US institutions to participate in the meeting -- more information is available here: https://www.cphs2022.org/fellows/

Since we expect Fellows will not have an established professional network in the CPHS community, we want to match them with a Mentor who can help answer questions and make connections.  (We will also organize an Orientation and create a Guidebook to help support Fellows and other new community members.)

Mentor responsibilities and time commitment (< 3 hours total per mentee):
- meet with mentee before CPHS;
- meet with mentee during CPHS;
- connect mentee with other folks at CPHS (particularly faculty and other more senior researchers).

Our primary goal in establishing the Fellows program and connecting participants with Mentors is to incorporate people who do not currently identify as being a part of the CPHS community but are in relevant areas of research (e.g., control theory, human-robot interaction, neuroscience, neuroengineering, health, human-computer interaction, accessibility, etc.).
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Email *
Your preferred name *
Your preferred pronouns (see https://pronouns.org/ for more information) *
Your current position and institutional affiliation *
Do you plan to attend CPHS 2022 in person?  (preference will be given to in-person Mentors) *
How many mentees can you support at CPHS 2022? *
Keywords and/or a website link we can use to get a sense of your research interests or areas of expertise (we will endeavor to match Mentors and Mentees with similar interests)
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