Breadcrumb Hafan Cofrestru i gymryd rhan You must have JavaScript enabled to use this form. Cyfredol Page 1 Tudalen 2 Page 3 Wedi'i gwblhau Health and Care Research Wales Faculty Mentee profile form Your personal data will always be treated in confidence and when anonymised with data from other applicants will help us monitor the diversity of the field of applicants, and the success rate by protected characteristic. The summary data may be published by Health and Care Research Wales in a report. We will always ensure that it is not possible to identify individuals from the summary data. Your responses to questions regarding your gender, if you are disabled, your ethnic group, sexual orientation, your religion or belief, your age and caring responsibilities will never be made available to the those considering your application. All the data we collect is treated in accordance with the Data Protection Act 2018 and UK General Data Protection Regulation (GDPR). Our Privacy Policy is available to read on the website. 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 Arall... Arall... 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) Arall... Arall... 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