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This document is used for evaluating a candidate applying for the Columbia University Irving CTSA Reach for the R01 award, focusing on their research capabilities and career development.
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How to fill out Form for Department Chair and Mentor

01
Obtain the Form for Department Chair and Mentor from the appropriate administrative office or online portal.
02
Fill in your personal information at the top of the form, including your name, department, and contact information.
03
Provide the names and contact details of your proposed chair and mentor.
04
Include the desired timeline for mentorship and any specific goals you wish to achieve.
05
Review your responses for accuracy and completeness.
06
Sign and date the form where indicated.
07
Submit the completed form to the designated office or email it to the appropriate recipients.

Who needs Form for Department Chair and Mentor?

01
Faculty members seeking guidance in their academic career.
02
Newly appointed department chairs looking to establish mentorship relationships.
03
Anyone in the department who requires formal mentorship support.
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Earners of this certificate have demonstrated the skills to guide and support a mentee, clearly understand the expectations of a mentor and a mentoring relationship, and are equipped to assist mentees in identifying and pursuing their goals through mentoring.
Tasks include, but are not limited to: Budget appropriately within the chapter to fund the mentoring program. Communicate via email and at podium opportunities, promote the Mentoring Program broadly to the Chapter's membership. Make the matches, and notify the mentors (first) of whom their mentee will be.
Mentoring Activities: Summarize the kinds of mentoring activities you engaged in — research or teaching supervision, career guidance, professional development support, etc. Include how often you met and the focus of these meetings. Mentee Outcomes: Note outcomes such as mentee publications, awards, or career advancement.
A mentor application form is a document used for receiving applications from those persons who wish to take a role as a mentor.
Traditional one-on-one mentoring This is the most classic form of mentoring, involving a one-to-one relationship between a mentor and mentee. The mentor provides individualized attention and guidance, making it highly effective for personal and career development​​​​.
A mentor is a person who can support, advise and guide you. They typically take the time to get to know you and the challenges you're facing and then use their understanding and personal experience to help you improve.
How to ask someone to mentor you Schedule an initial conversation. Clearly describe the guidance you're seeking (The Ask). Confirm your willingness to do the necessary work and follow-through. Acknowledge and respect the individual's time. Note: If you don't hear from them, follow-up, but don't hound him or her.
The document provides a mentor consent form for an educational program. It outlines requirements for mentors including minimum qualifications and experience. It also lists responsibilities of mentors such as monitoring the student's progress and ensuring deadlines are met.

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The Form for Department Chair and Mentor is a document used to facilitate communication and evaluation between a department chair and a mentor regarding the professional development and performance of faculty members.
Typically, faculty members seeking tenure, promotion, or regular evaluations are required to file the Form for Department Chair and Mentor.
To fill out the Form for Department Chair and Mentor, one needs to provide necessary information about the faculty member's performance, goals, and any supporting documentation that highlights achievements and areas for improvement.
The purpose of the Form for Department Chair and Mentor is to ensure a structured evaluation process that supports faculty development, provides feedback, and encourages mentorship within academic departments.
The form must report information including the faculty member's teaching effectiveness, research contributions, service activities, professional goals, and any relevant feedback from their mentor.
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