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Polonium Mentoring Interest Form

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Register your interest for next iteration!

What is your name?

*

What is your surname?

*

What is your e-mail address?

*

What institution(s) are you affiliated with?

*

What is your field of research?

*

You can indicate more than one area. If you are no longer in a research position, select the research area you worked in before. If your area of research is not listed below, please type it in the Other option.

A

Arts & Humanities

B

Biological Sciences

C

Social & Behavioural Sciences

D

Chemical Sciences

E

Earth sciences

F

Economics, Business & Finance

G

Engineering & Computing

H

Maths & Physical Sciences

I

Medical & Health Sciences

J

Other

What role would suit you most?

*

A

Mentor

B

Mentee

C

Both