MENTOR APPLICATION FORM



|MENTOR APPLICATION FORM |

|If you are interested in participating in the IAF Abstract Mentor Programme, please complete the application form and send it to amp@ – please |

|include “AMP – Mentor IAC 2021” in your subject line. |

| |

|Providing the following is for the sole purpose of matching each Mentee with a suitable Mentor. |

|PERSONAL: | |

|First and Last Name: |      |

| | |

|CONTACT DETAILS: | |

|Position: |      |

|Institution: |      |

|Country: |      |

|Email: |      |

| | |

|CAREER / EMPLOYMENT HISTORY: |      |

|Please include CV (max 1 page) if you wish: | |

| | |

|ACTIVITIES AND |      |

|INTERESTS: | |

| | |

|WHY DO YOU WANT TO BE A MENTOR?: |      |

|What help would you | |

|like to offer a Mentee? | |

|(Please be specific e.g. provide | |

|information; support in career progression; | |

|develop contacts; insight into a specific | |

|area, etc.) | |

| | |

|PREFERRED MENTORSHIP CATEGORY: |A - Science & Exploration |

|(cross out or remove what does not apply) |B - Applications & Operations |

| |C - Technology |

| |D - Infrastructure |

| |E - Space & Society |

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