Mentorship Application Form
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First Name *
Last Name
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Please provide your full name as you would like it to appear on your certificate ?
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Have you ever served as a mentor for a project with QuantumAI?
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How many hours per week are you able to contribute to this project?
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Gender
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Email
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Please specify your time zonein UTC format(UTC +1. UTC-2, etc.)
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Country *
Phone
Highest Qualification or Currently enrolled
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Major/Field of Study
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Required
University/Institute/Organization
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Your level of experience in programming skills:
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Website or research profile (Optional, Should be a officially known website like Linkedin, Research Gate, Google Scholar, Etc.)
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What are your skills and experience related to quantum science, technology, etc ?
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Select Project (preference - 1)
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Select Ongoing Project (preference - 2)
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What interests you about the project you are selecting? (50-150 words.)
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I have read and agreed to  Terms &  Conditions of QuantumAI.
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Required
I have read and agreed to QuantumAI  privacy policy  . I confirm that QuantumAI can store and process my data according to its  privacy policy.
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Required
TERMS OF PARTICIPATION
I will:
1 ❯  Maintain professional conduct in all my communication with everyone involved in the Program at all times.

2 ❯  Allow QuantumAI to share information about me and my participation at the Program with academic and industry recruiters who have teamed with QuantumAI for recruitment, promotional or marketing purposes.

3 ❯  Ensure that my contributions are and will be my own original work and do not and will not infringe the intellectual property or proprietary rights of any third party. QuantumAI retains the right to make use of submitted work and event entries for pedagogical, administrative, broadcasting and promotional purposes.

I am at least 18 years old and read and understood the terms of participation above.

You have answered and filled out all the required fields.
Incomplete and/or inaccurate applications will not be considered!
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