Mentee Questionnaire

Question Title

* 1. BSG membership number (to be eligible you must be a member of BSG):

Question Title

* 2. Contact Information

Full name:

Institution:

Email address:

Phone number:

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* 3. Career Stage

Undergraduate

Postgraduate (Masters)

PhD student

Early career (1-5 years post-PhD or equivalent)

Mid-career (more than 5 years post-PhD or equivalent)

Question Title

* 4. Areas of Interest (multiple options possible)

Age-friendly environments

Arts and humanities

Brain ageing

Caregiving

Cultural gerontology

Critical gerontology

Dementia

Environment

Health and wellbeing

Measurement, statistics and research design

Nursing care

Nutrition

Palliative and end-of-life care

Research methods

Rural ageing

Technology

Transportation

Work and retirement

Other (please specify)

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* 5. What support would you like from a mentor? (multiple options possible)

Career planning and development

Collaborations

Leadership development

Networking

Publishing

Writing grants

Other (please specify)

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* 6. What is your preferred method of contact?

Email only

Telephone and email

Skype and email

Other meeting tool (please specify)

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* 7. How much time would you like to spend on the programme?

1-2 hours fortnightly

1-2 hours per month

1-2 hours every 2 months

1-2 hours every 4 months

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* 8. I declare that I will send my CV to era@britishgerontology.org

I agree

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* 9. I agree to abide by ERA’s mentor scheme code of conduct
I agree to my data being shared with the ERA Committee and held for the duration of my involvement with the scheme
I agree to my CV being sent to the mentor that I am matched with

I agree

Mentee Questionnaire

Question Title

* 1. BSG membership number (to be eligible you must be a member of BSG):

Question Title

* 2. Contact Information

Question Title

* 3. Career Stage

Question Title

* 4. Areas of Interest (multiple options possible)

Question Title

* 5. What support would you like from a mentor? (multiple options possible)

Question Title

* 6. What is your preferred method of contact?

Question Title

* 7. How much time would you like to spend on the programme?

Question Title

* 8. I declare that I will send my CV to era@britishgerontology.org

Question Title

* 9. I agree to abide by ERA’s mentor scheme code of conductI agree to my data being shared with the ERA Committee and held for the duration of my involvement with the schemeI agree to my CV being sent to the mentor that I am matched with

* 9. I agree to abide by ERA’s mentor scheme code of conduct
I agree to my data being shared with the ERA Committee and held for the duration of my involvement with the scheme
I agree to my CV being sent to the mentor that I am matched with