Mentor Application Form

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Thank you for agreeing to be part of the mentor pool for the Academic Mentoring Programme, Faculty of Medicine, University of Peradeniya.

Mentoring Scheme Privacy Notice

The personal data you provide will be held securely and treated as confidential. It will be made available only to Academic Mentoring Committee to facilitate and develop the Mentoring Scheme. It will not be shared with any third parties without your explicit consent.

First Name *

Last Name *

Department *

Position *

Duration of service in the University *

E-Mail *

Mobile Phone *

Please indicate the areas you would like to provide mentorship

Career planning and development

Teaching and learning skills

Work-life balance

Research and publications

Grant writing and managing budgets

Managing people/teams

Leadership

Strategic planning

Conflict resolution/negotiation

Self-confidence/assertiveness

Understanding organizational structures

Would you like to undergo training as a mentor ?

Submit

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