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Network for Enriched Academic Relationships (NEAR) Mentor Registration Form

About You

Name*
UB Affiliation*
Preferred Method of Contact*
Headshot/Photo
No File Chosen
File uploads may not work on some mobile devices.
Please upload a headshot of yourself for the database. There should be no other people in the photo. Professional headshots, if available, work best.

Personal Identities and Characteristics

Note: By answering "yes" to any of the questions in this section, you are providing approval to share your answer and answers to any supplemental questions on your NEAR mentor profile.

Do you identify as a member of a racial/ethnic minority group? *
Do you identify as a sexual or gender minority?*
Do you live with a disability or chronic illness?*

Education

Professional Experience

What Mentoring Means to You

Please say a little bit about what mentoring means to you. This could be how you define it, why you value it, your past experiences as a mentor or as a mentee (for better or for worse), etc. This will be posted on your profile to give students a sense of who you are and why you’re involved in this initiative. This content will be displayed on the website.

Mentoring Topics

Below are different topic areas that bear on students’ performance and progress through graduate school, but that are not often talked about (or that can be hard to talk about with your own advisor or chair). The topics are grouped into categories related to personal experiences and academic culture.

Please select any and all topic areas that you would be willing to discuss with a graduate student. You may use the short answer fields to be more specific about your experience and perspectives. This information will be publicly available.

You must select at least one topic for your profile to be valid.

Personal Experiences
Academic Culture