CSE Mentorship Program Application

If you are interested in requesting a mentor, please fill out all applicable fields. Fields marked with an asterisk (*) are required. If you are interested in being a mentor, please contact the CSE office.

Name*

Title*

Employer*

Email*

Address*

Phone*

1. Please provide a brief description of the publishing program you are affiliated with (field topic, number of journals, other publication, member society or not, etc.). If you are not part of a formal publishing program, please state that and describe the range of clients you work for or projects you typically work on.*

2. Please provide a brief description of your role in this organization and how long you have been in this role.*

3. Please provide a brief description of the benefits you hope to gain by participating in the Mentorship Program.*

4. Please describe any knowledge or skills that you would like to gain, areas on which you’d like to focus, or aspects of your job where you feel a mentor might be able to offer some guidance.*

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