Mentee registration form

STEMAZING Mentoring Programme 2025

MENTEE APPLICATION FORM

You are applying to take part in this programme as a MENTEE.

Please note this is only open to women and non-binary people in STEM related organisations and institutions.

This is a fully-funded mentoring opportunity for selected mentees - so is free of charge to mentees taking part.

Please note your information is managed in accordance with our GDPR and Data Privacy Policy and will only be used for the purposes of this programme.

First name

Last name

Email

Confirm Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Nationality

Gender

Ethnicity

Please supply your LinkedIn profile if you have one (put N/A if you don't have one)

Please provide a short bio of your career / academic journey to date.

Current Occupation / Role

Organisation / Institution you currently work in, or if you are currently job seeking.

What is your current career stage?

Academic or career level such as student, graduate, early career, mid-career etc

Why do you want to participate in this mentoring programme?

Is there anything particular you are looking for in a mentor (skills / experience)? Please note our mentors can be any gender so please note if you are specifically looking for a female mentor.

What is your biggest challenge currently that you would like help with?

Have you been mentored before? (Please note previous mentoring experience is not a requirement)

Yes

No

Other

If you put 'yes' above please briefly describe your previous experience of being mentored.

What field or profession are you interested in for the next steps in your career?

Please rate your current motivation to remain working in STEM. (5 being high, and 1 being low which would indicate you are thinking of leaving STEM to work in another field)

What are your main goals for the mentoring relationship (e.g. career guidance, specific skill development, networking, confidence building etc)

We expect mentees to commit 2 hours a month from April to December 2025 for this mentoring scheme. Can you commit to this?

Yes

No

Other

Mentoring sessions are expected to be conducted online. Are you able to join video calls via Zoom or Teams?

Yes

No

Other

We want to be inclusive for all participants applying. Do you have any accessibility requirements you would like us to be aware of, e.g. any additional support you need to help you participate fully in this programme?

Is there anything specific about your background, culture, or identity that you'd like your mentor to be aware of?

Is there anything else you would like us to know about you that will help us in matching you with a mentor if you are chosen to take part in this programme?

If you are selected, you will join a group of new STEMAZING mentees, take part in a 1.5 hour online training webinar in April, join 2 lunchtime Mentee support Circles online in June & Sept, and join a Mentee WhatsApp Group. Do you consent to:

My LinkedIn profile picture (or other photo I send) being used in a Mentee photo montage on social media

My email address being shared with other mentees

Joining the Mentee WhatsApp Group

Joining the training webinar and Mentee support Circles online

My contact details being shared with my matched mentor

Do you agree to maintain confidentiality and professionalism in the mentoring relationship?

Yes

Do you have any final comments or questions for us?

Please click submit to register your interest in taking part. We will be in touch with you by the end of February to confirm whether you have been selected to take part in this programme.