ACADI Mentee Application
Thank you for your interest in the ACADI Mentoring Program. 

Our goal is to facilitate the sharing of skills, knowledge, career and leadership guidance to support PhDs and EMCRs working in the field of diabetes.

Key dates:

Facilitated Mentee Training: Thursdsay 09 May 2024 10am - 12pm AEST
Celebratory event to finish the program: 14th November 2024.  

Optional midpoint check in: In person event at the Australasian Diabetes Congress 21-23 August 2024

Please complete the application form below - the answers will be used to assist us in matching mentors with mentees.
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Name *
Title First and last name
Email *
Phone number *
Gender *
Required
Please select the state or territory you work in. *
Networking and building relationships with other participants *
Do you give permission for ACADI to include your name, organisation, role and email address (as it appears in this application) with others in the Mentor program?
Professional details  *
Which organisation is your primary workplace? If you are affiliated with more than one organisation, please select your primary place of work from the list below and add additional organisations in the next question. 
Please list organisations with which you are affiliated: *
What is your current position/role in your primary organisation? *
How would you describe your career level?  *
e.g. Honours student, PhD, Research Assistant etc. If you have completed your PhD, please provide the year of conferral. 
Please provide an overview of your current research . *
Please provide a succinct bio *
Please include key points, timeline including education, key roles and organisations.  Alternatively, provide a link to your online bio or ORCID-ID.  Max 550 characters. 
Career Aspirations *
Where do you aspire to be in your career 12 months from now? Max 300 characters. 
Why is participation in this program important to you/your career? A detailed response will help determine how we match you.  *
Max 400 characters. 
Program goals *
Which from this list below best captures your primary goal coming into the program?
From the lists below, please select the key areas that are crucial to your development over the next two years.  *
Required
Matching preferences *
Can you describe your ideal mentor? (you may wish to comment on research area, background, mentoring style, personality etc.) 

While we strive to cater for these, it may not be possible in some instances to meet them.  
Would you prefer to be matched with a mentor of a specific gender? If so, please state the gender below.  *

An integral element of the program’s success is NOT matching mentors and mentees where there may be a potential conflict of interest or limited professional overlap. Are there any disciplines you would prefer to AVOID being matched with? Are there any organisations in which your mentor should NOT work?

 *
Is there any further information you want to share with us relevant to your participation in the program. This may include potential conflicts or personal considerations not already captured.      *
Program details *
Attending the initial facilitated online training sessions, online one-on-one sessions with your mentor and the in-person event in Melbourne on 13 November will be critical to the success of this program. We know how busy career and life can be, and the program is structured to support you through these challenges. Attendance to the sessions ensures the program is a valuable investment of your time. If this is not the right time for your or if this sounds like something you cannot commit to, please let us know. Please note, travel and accommodation will be paid for for the in-person event. 

The dates for training are: 
Facilitated Mentee Training: Thursdsay 09 May 2024 10am - 12pm AEST
Celebratory event to finish the program: 14th November 2024.  

Optional midpoint check in: In person event at the Australasian Diabetes Congress 21-23 August 2024

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