Mentor Application

The data you include below will be utilised by ABCD in the selection process for potential mentors.  The data will also be made available via the ABCD website to allow new mentees to select their preferred mentee.

Contact 1
Please upload a recent portrait image of yourself. The image should be in JPG, GIF or PNG format and no bigger than 2MG in size. Ideally, your image should be 90 pixels wide.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
A list of current and/or previous roles and responsibilities (e.g. CPD tutor, network lead, regional and national duties, related memberships)
A list of specific areas of professional interests e.g. gestational diabetes, pump technology (Professional interests may not necessarily be clinical interests; they may include other professional interests e.g. time management, conflict resolution etc.)
A list of those attributes that you consider make you a good mentor
Please provide details on why you want to be a mentor in this programme. Try to come up with as many as you can. They may not be about you personally, they may for example be about the programme, the mentee, the patient, the specviality and/or event more abstract reasons
Any comments you may have for prospective mentees seeing a mentor...
Available now to start training as mentor and accept mentee pairing

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