MENTOR Sign-Up for Mentors & Muffins @ XMAS 2027

This is the MENTOR Sign-Up form for the Mentors & Muffins program at XMAS2027. While the exact date and time of the event has not been set yet, we do encourage those interested to sign up. Sign-up will close once capacity is reached. The information you provide will be shared with registered mentees. These questions will be used to assign mentors to tables, and to help mentees identify you when they rotate to your table.

Please fill out this form in English.
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1. Email
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2. I will be participating as a
Mentor
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3. Last/Family Name
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4. First/Given/Preferred Name
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5. Pronouns
She/her
He/him
They/them
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6. Institution/Organization
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7. What is your current position?
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8. What country are you from?
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9. In what country are you currently based?
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10. Languages you speak other than English – please list ALL

As some students may feel more comfortable speaking in another language and therefore can know they can converse with you
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11. Career level
Early
Established
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12. Are you presenting at this meeting?
So interested mentees/mentors can find your abstract in the program
Yes
No
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13. Which sectors do you have experience in?[Multiple]
Select all that apply
Industry
Tech
Nonprofit
Teaching-Focused Academia
Research-Focused Academia
Government
Other
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14. Key words or topics you can provide career advice on
e.g., procrastination solutions, raising a family while pursuing a career, networking, imposter syndrome, work-life balance......
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15. Key words to describe your research interests
e.g., modeling, genetics, winter limnology, HABs, policy, education......
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