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About The Program
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Gender Equality and Equity
Program
General Description
Pillar 1: Lecture Series
Pillar 2: Learn: Certificate Course
Pillar 3: Build Innovation Cohort
Pillar 4: Bridge Post Graduation Program(PGP)
Pillar 5: Protect IPR
Pillar 6: Coach/Mentor Pool Development
Pillar 7: Sustain Sustainability
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Fill the Form Below
Name
*
Email
*
Phone
*
Gender
*
---Select---
Male
Female
Organization
*
Designation
*
Which university would you prefer to be a mentor for?
*
---Select---
Bangabandhu Sheikh Mujibur Rahman Science and Technology University [BSMRSTU]
Bangladesh Agricultural University [BAU]
Bangladesh University of Engineering and Technology [BUET]
BRAC University
Chittagong University [CU]
Khulna University [KU]
Rajshahi University of Engineering and Technology [RUET]
Shahjalal University of Science & Technology [SUST]
United International University [LaunchPad by UIHP@UIU]
Varendra University [VU]
Highest Academic Qualification
*
---Select---
Bachelor
Masters
PhD
Mentoring track relevant for you
*
---Select---
Business
Technology
Both
Business Mentor: A mentor to help teams with commercialization. Technology Mentor: A mentor to help teams with product development and R&D.
What is your current affiliation?
*
---Select---
University faculty
Industry Expert
Subject of teaching
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Teaching experience(year)
*
Institutions name you teaching
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Have your research experience?
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No
Yes
Research Type
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Research Experience(year)
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Research Organization
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Published paper number
*
Industry Experience(year)
*
Industry names you worked
*
Area of expertise
*
Please attach your resume or CV:(pdf)
*
Upload your photo:(png,jpg,jpeg)
*
Have your mentoring experience?
*
---Select---
Yes
No
Mentoring Type
*
---Select---
One-to-one
Group Setting
Webinar
Other
Mentorship experience
*
Mentoring Type(Other)
*
Mentorship Topics
*
Organization/program name you have mentored
*
What was the outcome of your mentorship
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How to you expect to contribute to this program, as a mentor?
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What experiences do you possess that will you make you an effective mentor?
*
Anything else that might be reflective to your experience
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