MDS Peer Review Education and Mentoring Program

MDS Peer Reviewing Education and Mentoring Program
Thank you for showing interest in the program. Kindly fill in the form with all required information, and upload the required document.
Name *

First NameLast Name
Email *
example@example.com
Are you a member of the MDS Young Member Group? *

YesNo
MDS Regional section*

Asian and Oceanian section(AOS)Africa (AS)European section (ES)Pan American section (PAS)
Age*

25-2930-3435-39
Gender*

FemaleMaleOther
Current academic position *

ResidentFellowPhD ScholarFaculty
Do you have previous peer reviewing experience?*

YesNo
If Yes, has been it been supervised, independent or both?

SupervisedIndependentBoth
Number of supervised peer reviews

1-55-10>10
Number of independent peer reviews

1-55-10>10
Which position are you interested in? *

MenteePeer Educator
Please list your top 5 areas of interest and expertise *

0/300
Please provide a brief letter of statement describing why you should be selected to be part of this program *

0/300
Please upload you CV as a pdf file (file should be named as follows first-name-last-name_cv) *

Cancelof
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MDS Peer Reviewing Education and Mentoring Program