Application for the Dorothea Schlözer Mentoring Programme Round 14, Start: Spring 2024

Information marked with a " * " is required!

I am a

doctoral candidate postdoctoral researcher

I am a doctoral candidate/postdoctoral researcher in the

1st year 2nd year 3rd year 4th year or more

Personal information

*	First name
*	Surname
*	Highest degree earned and field
*	Current University / Göttingen Campus institution
*	Current faculty / Institute
*	Name of Supervisor / Boss
*	Topic of current research work

Additional personal information relevant to the matching process

	Gender	male female diverse prefer not to say
	Year of birth	Year
	Country of birth
	Citizenship
	Disability	yes no Further information:
	Number of children	yes no Age of children
*	E-Mail address
*	Confirmation of E-Mail address
*	Phone number

Further Information

*	Have you applied to another mentoring or qualification program in parallel? If yes, which one?
	I learned about the mentoring programme via	Poster Flyer Mailing list Colleagues / friends Internet Other If other, please specify:

Professional / career goals

My aim regarding my professional development /
My greatest wish would be

The next steps for my professional development in the upcoming 6-18 months are

The following questions and concerns are relevant for me

Expectations regarding the mentoring programme

During the course of this mentoring programme I would like to reach the following goals

From my mentor I expect / desire

I would prefer a mentor fitting the following criteria (concerning for example experience, research field, gender, family status)

I suggest one of the following three professors (ranking 1-3, Göttingen Campus institution) to become my mentor during the programme (only suggestions, fist contact will be done by coordinator):

Event planning

I want to make use of the provided childcare

Yes No Maybe

Declarations / Confirmations

*	I hereby express to participate actively in the mentoring programme and to address difficulties in a transparent and open manner as well as to participate in the evaluation of the programme.

*	I have taken note of the schedule of the 12 round of the Dorothea Schlözer Mentoring Programme and hereby confirm that I have time to participate in the listed mandatory activities

*	I confirm herewith to be affiliated with the University of Göttingen or a Göttingen Campus institution throughout the programme duration. In case of changes I will immediately inform the Central Coordination Mentoring.

I accept that the personal data given here and the registration details to the workshops are saved and may be passed on to the other participants of the programme in order to facilitate networking and communication. My right to obtain information about saved data and to request deletion, correction or blocking of the data shall not be affected by my consent.

*	Further I accept that my application data will be forwarded to one (or more) potential mentor/s in order to facilitate the matching process. My right to obtain information about saved data and to request deletion, correcting or blocking of the data shall not be affected by my consent.

I confirm that all provided information is true and valid and can be verified with the original documents. I consent to the electronic storage of personal data supplied within the context of this online application. Valid terms regarding the protection of personal data will be maintained.(see Information about Data Policy DSGVO, § 13)

Upload of further application documents

Please upload in one pdf-document:

Motivation letter (max. 1 page DinA4)
CV
list of publications
brief and comprehensible description of own research (max. 1/2 page DinA4)

If you would like to get a copy of your application please save this page.
Please check your given information again before sending.

This registration system has been created by GWDG, Göttingen/Germany.