Mentoring program at CRIStAL - Inria Lille - Painlevé (Form for mentors)

Please fill in this form if you would like to participate in the mentoring program as a mentor. Knowing your profile will help us find the best mentoree for you.

Sentez-vous libre de répondre en français. Nous avons fait un seul formulaire par souci de simplicité.

First and last names
Email
Lab
Building(s)
Team
Employer institution
Academic position
Research field

For each area below, what would be your confidence level in providing guidance as a mentor ?
	None	Low	Moderate	Strong
working environment (in particular, blending in recent hires)	working environment (in particular, blending in recent hires)None	working environment (in particular, blending in recent hires)Low	working environment (in particular, blending in recent hires)Moderate	working environment (in particular, blending in recent hires)Strong
institutional knowledge	institutional knowledgeNone	institutional knowledgeLow	institutional knowledgeModerate	institutional knowledgeStrong
collaborations, communication and visibility	collaborations, communication and visibilityNone	collaborations, communication and visibilityLow	collaborations, communication and visibilityModerate	collaborations, communication and visibilityStrong
supervision of PhD Students	supervision of PhD StudentsNone	supervision of PhD StudentsLow	supervision of PhD StudentsModerate	supervision of PhD StudentsStrong
HDR (habilitation)	HDR (habilitation)None	HDR (habilitation)Low	HDR (habilitation)Moderate	HDR (habilitation)Strong
promotion files preparation	promotion files preparationNone	promotion files preparationLow	promotion files preparationModerate	promotion files preparationStrong
time management and organization of your work	time management and organization of your workNone	time management and organization of your workLow	time management and organization of your workModerate	time management and organization of your workStrong
science popularisation	science popularisationNone	science popularisationLow	science popularisationModerate	science popularisationStrong
people management, being a team leader	people management, being a team leaderNone	people management, being a team leaderLow	people management, being a team leaderModerate	people management, being a team leaderStrong
managing a European project	managing a European projectNone	managing a European projectLow	managing a European projectModerate	managing a European projectStrong
improving self-confidence, leadership	improving self-confidence, leadershipNone	improving self-confidence, leadershipLow	improving self-confidence, leadershipModerate	improving self-confidence, leadershipStrong
"back to work" (eg after a parental leave or a medical leave)	"back to work" (eg after a parental leave or a medical leave)None	"back to work" (eg after a parental leave or a medical leave)Low	"back to work" (eg after a parental leave or a medical leave)Moderate	"back to work" (eg after a parental leave or a medical leave)Strong
thematic conversion	thematic conversionNone	thematic conversionLow	thematic conversionModerate	thematic conversionStrong
work-life balance	work-life balanceNone	work-life balanceLow	work-life balanceModerate	work-life balanceStrong
other (specify in the comment section at the end of the form)	other (specify in the comment section at the end of the form)None	other (specify in the comment section at the end of the form)Low	other (specify in the comment section at the end of the form)Moderate	other (specify in the comment section at the end of the form)Strong

Preference for mentoree academic position (postdoc, associate professor, ...)
Would you prefer a mentoree from your research domain?
Match preferences: what type of person(s) would you be comfortable or uncomfortable with for a match (e.g. gender, years of experience, position)?
Additional things that the mentoring committee should consider when matching you with a mentoree.
Les informations recueillies sont enregistrées dans un fichier informatisé par l'unité CRIStAL. Ces données font l'objet d'un traitement informatique destiné à l'organisation du programme de mentorat organisé conjointement par CRIStAL, Painlevé et Inria Lille Nord Europe.

Conformément à la Loi Informatique et Libertés du 6 janvier 1978 modifiée et au Réglement (UE) 2016/679 du Parlement Européen et du Conseil du 27 avril 201, toute personne peut obtenir communication et, le cas échéant, rectification ou suppression des informations la concernant. Vous avez la possibilité de contacter le délégué à la protection des données de CRIStAL (cristal-dpo@univ-lille.fr), de Painlevé (direction-painleve@univ-lille.fr) ou d'Inria Lille Nord Europe (dpo@inria.fr).