2022/2023 IOP/IOGS Peer Mentorship Program Intake Form
Thanks for showing interest in our program!

If you would like to learn more about it, you can have a look at our webpage here: https://www.iop.ca/peer-mentorship-program. Please email us at iopiogsmentorshipprogram@gmail.com if there are any questions that you might have.

Please take a few minutes to fill out this form, as this information will be used for mentor-mentee matching.

Please submit this form before the 30th of January, 2023. We hope to see you in February!
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Email *
First Name: *
Last Name: *
Primary/senior supervisor(s): *
Affiliation/Location: *
What program are you in? *
What year of your program are you in? *
Are you doing a MSc or PhD? *
What role are you interested in? *
Are you a returning mentor or mentee? *
If you are interested in being a mentor, how many mentees are you willing to take on? *
How many hours per term are you willing to put into the program? *
What is your preferred structure of mentorship? *
What field of research are you in? *
Required
What is the nature of your research? (select all that apply) *
Required
What are your hobbies? *
Are you a domestic student or an international student? *
What are your career aspirations? (optional)
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