Mentor Registration Form

Mentor registration form

"*" indicates required fields

First Name*

Last Name*

Designation*

Institution*

Email*

Please specify the category of your IEASA membership. Please note: By ticking a box below, you confirm that you are a member in good standing.*

Individual member

Representative of institutional member

Honorary member

How many years of experience in higher education internationalisation do you have?*

Less than 10 years

10-14 years

15-19 years

20 years and more

Do you have mentoring experience?*

Yes

If you have responded YES to the previous question, please provide a short overview of your previous mentoring experience. (If you have responded NO, please type 'N/A' in the box below.)*

Please provide a motivation for your participation in the programme, outlining the specific skills, knowledge and experience you can offer.*

How many mentees are you willing to work with for the duration of the programme?

Please upload a short CV (not more than 3 pages).*

Accepted file types: docx, pptx, pdf, Max. file size: 10 MB.