Application Form

To support Knowledge Translation (KT) in Cochrane we are piloting a mentoring programme. This will match people who have experience of delivering KT activities (mentors) with people in Cochrane who are planning or running KT projects/activities (mentees) in order to support the development of skills and knowledge.

Mentors and mentees will meet virtually (via telephone or internet) for approximately 60 to 90 minutes per month for six months from September 2019 to February 2020. More information about this pilot programme is available here.

This form is for people who are interested in becoming a mentor.  If you are interested in being a "mentee" please use this form.

All people submitting a form will be contacted in August 2019. If you have any questions please contact Karen Head at khead@cochrane.org.

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* 1. Please provide your contact information. 
(Please note, this will only be used for the purposes of the mentoring programme.)

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* 2. Which language(s) would you be happy to talk to your mentee in?

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* 3. Have you had experience of being a mentor before?

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* 4. Why would you like to be a mentor?

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* 5. What are your main KT experiences and skills that you have that would be relevant for this scheme?

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* 6. Which areas within Knowledge Translation, and working with which target audiences, do you feel that you would be able to mentor in? This information will be used to help match you with a mentee with a specific KT need.

  Consumers / General Public Healthcare practitioners Policymakers / Healthcare managers Researchers / Research Funders Guideline Developers Other audience (please specify below)
Developing a KT strategy: working across all KT areas to identify which key activities to focus on
Prioritization: running prioritization processes for identifying issues important to stakeholders
Co-production: Working with target users to design and produce systematic reviews
Packaging and Push: Developing and disseminating KT products for systematic reviews
Facilitating Pull: Building capacity in target users to understand and use evidence
Exchange: Facilitating discussions and/or building partnerships with external stakeholders
Improving climate: Promoting efforts for the use of evidence (including Cochrane reviews)
Other: Please specify in the box below

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* 7. Please let us know any other information about yourself or your expectations of the mentoring programme that you feel will be useful when matching with a mentee.

Please read the following statements:

If accepted on the scheme:
  • I understand that I will be a mentor with a mentee assigned to me. The relationship is 1:1 and is confidential.
  • I understand that the programme is mentee driven and I shall promptly respond to the mentee when scheduling meetings.
  • I understand that the commitment is for 60 to 90 minutes per month over a 6 month period (Sep 2019 to Feb 2020). The meetings are likely to be 'virtual' (e.g. using internet or telephone).
  • I understand that I will be asked to participate in evaluation of the scheme after the pilot programme has completed.
  • I understand that if I have any issues or concerns around mentor/mentee relationship I can contact the programme coordinators at khead@cochrane.org.

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* 8. I undestand and agree to the above statements

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