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2021-2022 PhysioMP Registration for [Graduate Mentors]
Please enter the form details below to become a mentor for new PSL graduate students.
Due to COVID, mentorship interactions may be fully virtual depending on you and your mentee.
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* 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
Year of Study
*
2
3
4
5+
Supervisor(s)
*
Your answer
Institution of Research (ex. UofT campus, MaRS, Krembil, etc.)
*
Your answer
# of mentees you are willing to accept:
*
1
2
3
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:
*
Greater involvement in the department
Having my expertise/experiences recognized
The opportunity to give back/share my experiences
Sharing/learning about the experiences of others
Gaining a greater sense of belonging in the department
Other:
Required
What are your experiences & specialties? Please select all that apply (in order to better match with mentees 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 mentees 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:
Your answer
Send me a copy of my responses.
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