Mentee Application Form - AI for Public Health Workshop (ICLR 2021)

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Thank you for your interest in being a mentee for the Submission Mentorship Program organized as part of the AI for Public Health Workshop (ICLR 2021). Please fill in the following questions to help us match you with a mentor with the appropriate expertise for your workshop submission.

Application deadline: January 24th.

Expectations for mentees: Initiate contact with your mentor, send a draft of your submission to the mentor, incorporate their feedback, and commit to preparing and making a submission to the AI for Public Health workshop by February 26th. Additional expectations for the mentorship period or changes to the schedule can be discussed by the mentor and the mentee in their first meeting.

Full Name

Institution / Affiliation

What is your training status?

Masters / Undergrad

PhD student (1st-2nd year)

PhD student (3rd year or higher)

Postdoc

Industry (with PhD)

Industry (without PhD)

Professor

Other:

Clear selection

How many papers have you published in peer-review venues with proceedings in the past?

Clear selection

Have you previously participated in a Submission Mentorship Program?

Yes

Clear selection

Submission areas

Please indicate up to 3 main research areas for your submission. We will use this information to help match you with mentors who have the appropriate expertise.

Submission Areas

Active Learning/ Continuous Learning

Algorithmic Fairness/ Bias

Causal Inference

Deployment

Disease Monitoring

Domain Adaptation

Epidemic Forecasting

Generalization/ Distribution Shift

Health inequities

Interpretability

Mobile Health

Outbreak detection

Privacy/ Security

Public Health Policies

Reinforcement Learning

Representation Learning

Transfer Learning

Unsupervised Learning

Other:

What do you hope to gain from working with a mentor as part of the Submission Mentorship Program?

Please give us a short description and a provisionary title for your planned extended abstract submission.

Anything else you'd like to tell us?

I understand that by submitting this application and, if matched with a mentor, I commit to fulfilling my responsibilities as a mentee. This includes initiating contact with your mentor, sending a draft of your submission to the mentor, incorporate their feedback, and commit to preparing and making a submission to the AI for Public Health workshop by February 26th.

Yes

Clear selection

Submit

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