Your Details
Last Name
First Name
Other
Membership No.
Date of birth (dd/mm/yyyy)
Current employment
Company Name(in full)
Job Description
Address
Postcode
Country
Telephone Number(Direct)
Mobile Number(Direct)
Email
Your preferred contact details for the Mentoring Scheme
If 'No' please give contact details below
Telephone Number
Mobile Number
Email
More about you and your employer
What year did you begin your career in research? (state year)
Please complete the following sections with enough details to enable us to find you a suitable match.
Please detail below your work experience to date.
Please detail below your areas of professional expertise, including your methodological and business experience.
Why do you want to become a Mentor? What are you hoping to gain from a mentoring relationship?(Please detail what you believe you can contribute – skills, attitudes, experiences etc.)
If yes please give detail:
If yes please give detail:
Mentoring contact preferences
Frequency of contact
Where a mentee is not available in a location nearby, MRS will endeavour to make a pairing via e-mentoring).
Mentor Declaration
MRS agrees to facilitate a mentoring scheme through the voluntary and non-compulsory introduction of parties, and provision of a suggested nonobligatory framework within which to conduct a mentoring relationship. MRS takes reasonable steps to ensure the quality and accuracy of the information provided to the parties during the mentoring scheme but MRS, will not be responsible for the suitability of the introductions or the framework nor of the completeness or accuracy of any information whether provided by MRS or by a third party. Further, MRS and its employees will not be responsible for the success or otherwise of any mentoring partnership or relationship, nor any loss, damage, cost, expenses or claims for compensation howsoever arising from the performance or non-performance of the mentoring relationship. Except in respect of death or personal injury cause by MRS’s negligence, MRS shall not be liable to any mentor or mentee by reason of any representation (unless fraudulent) for any indirect, special or consequential loss or any other loss however caused under the mentoring scheme.
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