ACS Pilot Mentorship Program – Mentee Expression of Interest

Full name

First NameLast Name

Email address

example@example.com

Institution/workplace

State/County

Are you you a ACS Member?

Are you currently employed in a professional, general, or technical (PGT) staff stream, or is your role at least 80% dedicated to research technology or infrastructure functions (such as a Shared Resource Laboratory / Core Facility)?

Q1) Your experience in flow cytometry (Describe where you are in your career and your day-to-day work in flow.)

Q2) Area of focus (Select your development priorities)

If 'Other' selected, please specify

Q3) What are your main reasons for joining this program, and what would success look like for you?

Please describe 1–3 specific skills or goals you would like to develop during the 10-month program. Examples include:

Gain guidance on navigating early career progression within a shared resource laboratory (SRL)
Explore and plan a potential career transition (e.g., academic ↔ professional/industry pathways)
Develop a clearer understanding of career pathways and roles beyond my current environment
Build connections and awareness of international opportunities within Australasia/New Zealand
Receive advice and strategies to address specific challenges I am currently facing
Establish networks and practical insights to support relocation to a new region.

Answer

Additional information to help matching

Q4) Is there anything we should consider to help us make the best mentor/mentee match for you? Include any relevant preferences, goals, or circumstances that may support a productive mentoring relationship. Leave blank if none.)

This information is confidential and will only be used by the matching committee. It will not be shared outside the committee or with other participants. Leave blank if none.

Signature

Date