Required fields are marked with *. I am interested in volunteering with Global Talent Mentoring as a mentor, and I acknowledge having read the information about mentor qualifications and commitment on this page.*
Title: First name:* Last name:* Gender: FemaleMaleNot specified Date of birth:* MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year19301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000
Email:* Phone: Country of residence:* City:*
Native language*: Add any additional language(s) you speak fluently: Please list all languages indicating your level of proficienty. (“N” for native or near-native, “FL” for fluent, “IM” for intermediate).
Tertiary degree(s): Please specify type (e.g., MS, PhD), subject, institution, and year for each tertiary degree.* Please list any other relevant certifications or qualifications.
Current position:* Current institution:* Please briefly describe what you do (including your regular professional activities):* Please provide any public links to your professional webpage(s) (e.g., your personal university page, your Google Scholar profile, your ResearchGate profile, etc.):
Please select your primary STEMM area of expertise. If you consider your area to be interdisciplinary, please check all options that apply.* Biological and biomedical sciences (e.g., medical sciences)Computer and information sciencesEngineeringMathematics and statisticsPhysical sciences (e.g., physics, chemistry, astronomy, earth sciences)Other
Please describe your specific area(s) of STEMM expertise (e.g., quantum physics, artificial intelligence).*
Please list the keywords about your STEMM research and/or R&D work.* Please provide a listing and/or a public link to your research publications/patents/inventions.*
Please list a few of your most important professional achievements:* Please indicate name, year, and, if possible, a link to a public website where these achievements have been published. (e.g., key publications, patents, awards).
Have you ever mentored someone?* ---YesNo
Why do you want to volunteer as a mentor for Global Talent Mentoring?* In what main area(s) in STEMM would you like to mentor a mentee? (Please select max. 3 areas)* AstronomyBiological and biomedical sciences (e.g., medical sciences)ChemistryComputer and information sciencesEarth sciencesEngineeringMathematics and statisticsPhysicsOther
Please list any further knowledge, competency, and skill that can be potentially relevant in mentoring a STEMM student:
Please list the names of people you are working with (e.g., in your department) whom we may contact as references. Please indicate their name, institution, job position, their relation to you, the duration you have worked with them, and an email address where we may contact them.*
How did you learn about Global Talent Mentoring?* ---Advanced Material Pandemic and Future Preparedness Taskforce (AMPT)American Association for AnatomyAmerican Society of Agricultural and Biological Engineers (ASABE)American Society for Engineering Education (ASEE)appliedAIApplied Science and Technology Research Institute, Hong Kong (ASTRI)Arabian Gulf University (Bahrain)AraCreateAssociação Nacional para o Estudo e Intervenção na Sobredotação - ANEIS (Portugal)Association for Technical Culture of Slovenia (ZOTKS)Astra (Denmark)Axcelis TechnologiesBASF SEBelgian Women in ScienceCape Coast Technical University (Ghana)Caribbean Centre for Giftedness and CreativityCenter for Gifted Education at the College of William and MaryCenter for Talented Youth Greece (CTY Greece)Centre Corporate Social Responsibility Development, Ukraine (CSR Ukraine)Centre for Talented Youth Ireland (CTY Ireland)Chemistry Industry Association of Canada (CIAC)Croucher FoundationCyberMentorDanish Microbiological SocietyDr. Kalmadi Shamarao Junior College (Kaveri Group of Institutes)DreamSpace Academy (Sri Lanka)European Talent Support Network (ETSN)Fazekas Mihály Secondary SchoolFédération Européenne d'Associations Nationales d'Ingénieurs (FEANI)Florida Atlantic UniversityFoundation for Research and Technology — Hellas (FORTH)Future Minds (Peru)Genetics Society of AmericaGesellschaft Deutscher Chemiker (GDCh)Gifted Education (New Zealand)Hamdan FoundationHong Kong Academy for Gifted Education Limited (HKAGE)ICB Institute of Computational Biology (Helmholtz Zentrum München)Illinois Mathematics and Science Academy (IMSA)IUBH University of Applied SciencesJubilee Institute (Jordan)Junior Academy of Sciences of Ukraine (JAS)Kaunas University of TechnologyKI BundesverbandKomm, mach MINTKotebe Metropolitan UniversityKumasi Technical UniversityLTER-Austria - Austrian Society for Long-term Ecological ResearchMaharaja Sayajirao University of BarodaMinistry of Education and Science, BulgariaMount Kenya UniversityMully Children's FamilyNational Pedagogical Institute of the Czech RepublicNorthwestern University, Center for Talented DevelopmentOrdem dos Engenheiros (Portugal)PASCO ScientificPlatform Talent voor Technologie (Dutch National STEM Platform)Radboud UniversitySabah Al Ahmad Center for Giftedness and Creativity (SACGC) (Kuwait)St. Martin's College (Malta)Sukkur IBA University, Executive Development CenterTaipei Resource Center for the Gifted and Talented (TRCGT)Tamale Technical UniversityThe Ohio State UniversityTriplebarUniversity of Iowa, Belin-Blank Center for Gifted Education and Talent DevelopmentUniversity of Management and TechnologyUniversity of Vienna (Faculty of Earth Sciences, Geography and Astronomy)University of WollongongVBIO Verband Biologie, Biowissenschaften und Biomedizin e.V.Other
I permit Global Talent Mentoring to share the information I submit in the Mentor Volunteer Form to my nominating institution (as selected above).* I consent to the storing and processing of my data by Global Talent Mentoring.* I will provide further information as requested by Global Talent Mentoring prior to participating in the program.* Do you have a criminal record?* NoYes Please answer this easy question before submitting your message: Which is smaller, 5 or 7?