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\n\nE-mail address: | \n | \n
\n\nName: | \n | \n
\n\nAffiliation (institute/university): | \n | \n
\n\nPostal address: | \n | \n
\n\nPhone: | \n | \n
\n\nWhat describes you best?: | \nUndergraduate student Master\'s student PhD student Recent PhD/postdoc Lecturer or professor
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\n\nWhat are you interested in? You may choose several options.: | \nAcademic maths Maths in industry Balancing family life with a career in maths Maths education
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\n\nOther interests: | \n | \n
\n\nWould you prefer your mentor to be a man or a woman?: | \nI would prefer my mentor to be a man I would prefer my mentor to be a woman I have no (strong) preference
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\n\nWould you prefer your mentor to work in the same or in a different institute from you?: | \nI would prefer my mentor to work at the same institute I would prefer my mentor to work elsewhere I have no (strong) preference
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\n\nHow would you like to communicate with your mentor? You may choose several options: | \nPhone Email Skype In person
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\n\nHow often would you like to meet with your mentor?: | \nAbout once a month Once every few months
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\n\nDo you have any specific questions already?: | \n | \n
\n\nDo you have any other matching preferences?: | \n | \n
\n\nDo you have any other questions or comments?: | \n | \n
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