Breadcrumb Home Faculty mentee form You must have JavaScript enabled to use this form. Current Page 1 Page 2 Page 3 Complete Health and Care Research Wales Faculty Mentee profile form Please complete this form in as much detail as you can. The information you share on this form is confidential, and will be used for two purposes: To allow the Faculty team to match you with a suitable mentor. To act as an introduction to your mentor. You will also receive a copy of their matching form as the programme begins. This helps you to build a partnership by understanding the areas in which you match, and by finding things that you have in common. If you have any queries, please contact the Faculty team on research-faculty@wales.nhs.uk Full name Email Which Health and Care Research Wales funding award do you currently have? (you can select more than one) Advancing Researcher Award Alumni member Associate member Emerging Leader Award Emerging Researcher Award Health and Care Research Wales Advanced Fellowship Award Health and Care Research Wales Doctoral Fellowship Award Health PhD Studentship Award Health Research Fellowship Award Next Steps Award NHS Research Time Award Personal Award Accelerator Research Capacity Building Collaboration Award Research Training Award Senior Research Leader Social Care PhD Studentship Award Social Care Research Fellowship Award Trials Development Award Other… Enter other… What pronouns do you use? We want to know how to correctly refer to you in the third person. ('Other' can refer to neo-pronouns or combination pronouns). He, him She, her They, them Prefer not to say Prefer to self-describe (plese use free text chose other) Other… Enter other… Position / Job Title Employing Organisation Location Please state where you are in the UK, as this may impact face to face mentoring Professional web page, online profile or social media Research interests Your next career goal: This may be certain, or undecided, both are fine What are you enjoying most about your role? Are there any career-related challenges or concerns you are facing at this point? Please outline these if you feel comfortable doing so. Please describe in your own words two priority objectives for you would like to achieve through the mentoring partnership. These should be small, specific goals that can be achieved within the 12 month programme. What kind of mentor could help you achieve these objectives, for example what 2-3 mentoring skills, personal attributes or career experiences are you seeking in a mentor. Please put these in order of priority. NB all our mentors are volunteers, and we only know of them, what they disclose to us on their matching form What are your hobbies and interests? Please let us know any other information about yourself or your expectations of the mentoring programme that you feel will be useful when matching you with a suitable mentor. Leave this field blank