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School of Life Sciences

Application form

MENTOR DETAILS

Restrictions will apply depending on the grant scheme and/or contract clauses they are associated with

FOR PhD MENTORS

FOR PDRA AND SENIOR TECHNICIANS MENTORS

FOR ALL MENTORS

Do you identify as a person from an underrepresented background in STEM (e.g., ethnicity, sexual preference, gender, neurodiverse, economically disadvantaged, etc.)?

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Have you mentored/are you mentoring people from underrepresented background in STEM (e.g., ethnicity, sexual preference, gender, neurodiverse, economically disadvantaged, etc.)?

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Would you like to have additional mentoring support from an external faculty member?

...

CASE FOR SUPPORT (MENTORS)

MENTEE DETAILS

Does your mentee identify as a person from an underrepresented background in STEM (e.g., ethnicity, sexual preference, gender, neurodiverse, economically disadvantage, etc.)?

....

Members of the triad participation agreement

Please confirm that your mentee has agreed to participate in this internship program
Please confirm that your line manager/supervisor has agreed for you to participate in this internship program
Consent participation in surveys
Privacy notice

The date and time of your submission, your identity, and the information you have submitted will all be stored, but will only be used to administer the fund, which includes reporting of awarded projects to the funder. All data will be processed in compliance with UK data protection legislation and the University of Warwick Data Protection Policy. Find out more on how Warwick uses your data

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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