First Name *

Last Name *

Email *

Please use the email associated with your NAVBO account.

Gender

Male Female Non-binary Other

Career stage *

Please select the best fit. If none apply, please choose other and fill in next question.

Enter required value Undergraduate student Research technician Post Baccalaureate Medical student Early-to-mid-stage Graduate/ PhD student Senior Graduate/ PhD student Postdoctoral fellow Senior Postdoctoral fellow Assistant Professor Associate Professor Full Professor Chief/ Head/ Chair (w/ Full Professorship) Chief/ Head/ Chair Industry- Scientist Industry- Other Government- Scientist Government- Other Instructor/ Lecturer (non-tenure track) Other...

If other, please indicate your career stage.

Please only answer this question if you responded other to "Career stage"

Primary career interest *

Enter required value Academia Industry (Biotech/ Pharmaceutical) Government/ Regulatory Clinical/ Translational Research Entrepreneurship/ Start-up Undecided Other

If other, please indicate your primary career interest.

Research Area(s) *

Please only select up to 3. If none apply, please select "Other" and include areas in the next question.

Anomalies/ Malformations

Bioengineering/ Tissue Engineering

Development

Disease

Genetics

Epigenetics

Homeostasis

Inflammation

Lymphatics

Matrix Biology

Mechanotransduction/ Mechanobiology

Metabolism

Microcirculation

Remodeling

Signaling

Vascular Cell Biology

Other

If other, please indicate your research area.

Only answer this question if you selected "Other" in Research Area.

Please indicate which mentoring skills/ experiences you have that will help guiding mentees. *

Select all that apply.

Professional development

Leadership development

Research program development

Work/ life balance

Diversity and inclusion/ cultural awareness

Grant writing

Project management

Personnel management

Lab management

Publishing support

Academic career navigation

Industry career navigation

Presentation skills

Interstate/ International relocation

Transferrable skills outside of academia

Networking

Conflict resolution

CV/ Resume review

Mentorship goals *

Select all that apply.

Career mentoring

Research mentoring

Other

If other, please indicate your mentorship goals.

Please only answer this question if you answered "Other" to Mentorship Goals.

Which mentoring styles best describe you?

Select up to two. Feel free to take this quick quiz regarding mentorship style to find your mentorship style.

https://www.dmu.ac.uk/documents/the-employability-mentoring-project-resources/thefullmentorpack/mentoring%20style%20self%20assessment.pdf

Challenger

Cheerleader

Educator

Ideator

Networker

How do you typically handle disagreements in a professional or scientific setting?

I address conflicts directly and collaboratively. I prefer to listen and mediate before taking action. I seek guidance from supervisors or colleagues. I try to avoid conflict whenever possible. Other/ Flexible approach.

Number of mentees you can commit to *

Enter required value 1 2 3 4+

Correspondence preference *

Select all that apply.

Email

Phone

Video call

Do we have permission to share your email address with potential mentees? *

Enter required value Yes No Only if necessary

Meeting frequency preference *

Enter required value Weekly Biweekly Monthly Quarterly Flexible/ No preference

Time zone/ availability *

Duration of commitment *

Enter required value 6 months 12 months 18 months Flexible/ no preference

Special considerations

If there are any special circumstances or concerns that we should take into consideration when suggesting mentees, please indicate them here.