Viadrina Mentoring Mentoring and Coaching Programme for female postdoctoral researchers European University Viadrina Frankfurt (Oder) Application form 2017 18 contact Viadrina Mentoring for female postdocs Inge Elise Funke E-Mail: funke@europa-uni.de Telefon: 0335-5534-4796 Personal details surname, first name year of birth children number of child/children, age of child/chrildren: private address telefophone privat office mobile E-Mail privat office office address I prefer to be contacted via my office contact data privat contact data. To which university or of a n-university research institution in the State of Brandenburg are you linked, and how? (e.g. Scholarship, PhD-project, postdoctoral project, employment contract) Financially supported by the European Social Fund (ESF) and the State of Brandenburg.
Academic background 2 For doctoral researchers in the final stage of their PhD: Subject of the doctoral thesis: University / Research Institute; Chair/ unit: Beginning and intended graduation date: Do you have a supervision agreement with your doctoral advisor? Subject of the current postdoctoral research project University / Research Institute; Chair/ unit: Beginning and indented ending: Statements concerning the mentoring and coaching programme How would you assess your own active German language skills (speaking, writing)? How would you assess your own passive German language skills? How did you acquire them? What amount of time can you afford to spend for the programme? Which objectives would you like to achieve taking part in the programme?
Mentoring relationship 3 One oft he core elements oft he programme is a relationship of each mentee with a mentor. He or she as a rule should t belong tot he same institution like the mentee. The mentoring relationship is intended to provide an interchange of experiences and biographic ideas. Mentoring relationship: I prefer a mentoring tandem (one-to-one-mentoring). I prefer a tandem group. (A group of up to four mentees is matched with one mentor or two). Both types of mentoring partnership would be convenient for me.. Please suggest two persons, who you would like to be your mentor. These first suggestions are a starting point for further enquiries. At the beginning of the programme, we develop further ideas about possible mentors for you. 1. suggestion title surename, first name University / Research institute tel. E-Mail Homepage Short report about how your attention was drawn to this person: 2. suggestion title surename, first name University / research institute tel. E-Mail Homepage
Short report about how your attention was drawn to this person: 4 In general, which aspects are important for you for the selection of your mentor: male/female is t relevant. is relevant: I prefer: The scientific branch is t relevant. relevant: Physical distance is t relevant. relevant: max. distance: Own children are t relevant. relevant: Other: Which topics would you like to discus with your mentor? Have you ever taken part in a mentoring programme or coaching progamme? Programme: Which are the three last traning courses you took part in? 1. 2. 3. Did you or do you attend didactic / teaching courses? Have you ever been a mentor to someone? If so, in what context?
Networking events 5 Do you have any whishes concerning subjects or personalities to be invited? 1. 2. 3. Qualification offers 1. Collegial advice Do you kw the method collegial advice? It is new for me. I have heard about it, but never made use of it. I kw it and already applied ist. other: 2. Gender & Diversity Gender and diversity as a topic is new to me. I have basic kwlegde. I have deeper kwledge about gender and diversity. I m an expert. (e.g. via studies, research, job experience) Anything you would like to let us kw about:
Declaration 6 Participating in the programme, I incur the following obligations: --- Organization of meetings with my mentor is my individual responsibility. --- I take part in the qualification offers. --- I take part in the evaluation of the programme. --- I will inform the programme coordinator about changes of my personal details or professional changes. A agree that my data are recorded at the Viadrina mentoring data base and used exclusively for the purposes of the programme. My rights of access, rectification, deletion and objection stay unaffected. I am aware that this application form and all other application documents will be submitted to the members of the mentoring supervisory group, which will decide on the selection of the mentees. All submitted data will be treated confidentially. Date / place Signature