JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021-2022 PhysioMP Registration for [Graduate Mentees]
Please enter the form details below to become a mentee in the PSL Graduate Department.
Due to COVID, mentorship interactions may be fully virtual depending on you and your mentor.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
UTOR ID (if you wish to receive CCR;
https://physiomp.com/requirements-for-ccr/
)
Your answer
Student number (if you wish to receive CCR;
https://physiomp.com/requirements-for-ccr/
)
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Program (Physiology)
*
MSc
PhD
Note: This form is for first year graduate students - please confirm your year of study
*
1
Supervisor(s)
*
Your answer
Institution of Research (ex. UofT campus, MaRS, Krembil, etc.)
*
Your answer
What is your Physiology platform?
*
Neuroscience
Cardiovascular & Respiratory
Endocrine & Diabetes
Reproduction & Development
What are you hoping to gain from this mentorship experience? Please select all that apply:
*
Learning about how to become successful in the Physiology program
Tips for coping with your lab environment
Discovering helpful resources
Sharing experiences with my mentor
Gaining a greater sense of belonging in the department
Other:
Required
What experiences & specialties interest you? Please select all that apply (in order to better match with mentors of similar interests):
*
Clubs & sports
Publications
Leadership involvement
Volunteering
Other:
Required
Choose 3 to 5 of the following characteristics that others would describe you as:
*
Approachable
Caring
Empathetic
Enthusiastic
Friendly
Fun
Knowledgeable
Organized
Patient
Responsible
Other:
Required
Please select all that apply (in order to better match with mentors of similar background):
*
Commuter
First in family to pursue graduate studies
International student
Thinking of pursuing research in academia
Thinking of pursuing research in the industry
Thinking of pursuing professional school
None of the above
Required
Additional comments that you would like to provide: (Optional)
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms