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Application Mentees
Personal and Contact Information
Family name
First name(s)
Gender
Female
Male
Non-binary
Prefer not to say
Prefer to self-describe
Please describe
Country of residence
?
- Select -
Afghanistan [ priority : 1 ]
Albania [ priority : 3 ]
Algeria [ priority : 2 ]
Angola [ priority : 2 ]
Argentina [ priority : 5 ]
Armenia [ priority : 3 ]
Azerbaijan [ priority : 3 ]
Bangladesh [ priority : 2 ]
Barbados [ priority : 6 ]
Belarus [ priority : 3 ]
Belize [ priority : 3 ]
Benin [ priority : 1 ]
Bhutan [ priority : 2 ]
Bolivia [ priority : 2 ]
Bosnia and Herzegovina [ priority : 4 ]
Botswana [ priority : 3 ]
Brazil [ priority : 4 ]
Bulgaria [ priority : 5 ]
Burkina Faso [ priority : 1 ]
Burundi [ priority : 1 ]
Cabo Verde [ priority : 2 ]
Cambodia [ priority : 2 ]
Cameroon [ priority : 2 ]
Central African Republic [ priority : 1 ]
Chad [ priority : 1 ]
Chile [ priority : 6 ]
China (excluding Hong Kong, Macao and Taiwan) [ priority : 5 ]
Colombia [ priority : 3 ]
Comoros [ priority : 2 ]
Congo, Dem. Rep. [ priority : 1 ]
Congo, Rep. [ priority : 2 ]
Costa Rica [ priority : 5 ]
Côte d'Ivoire [ priority : 2 ]
Cuba [ priority : 4 ]
Djibouti [ priority : 2 ]
Dominica [ priority : 4 ]
Dominican Republic [ priority : 4 ]
Ecuador [ priority : 3 ]
Egypt, Arab Rep. [ priority : 2 ]
El Salvador [ priority : 2 ]
Equatorial Guinea [ priority : 3 ]
Eritrea [ priority : 1 ]
Eswatini [ priority : 2 ]
Ethiopia [ priority : 1 ]
Fiji [ priority : 3 ]
Gabon [ priority : 3 ]
Gambia, The [ priority : 1 ]
Georgia [ priority : 3 ]
Ghana [ priority : 2 ]
Grenada [ priority : 4 ]
Guatemala [ priority : 3 ]
Guinea [ priority : 1 ]
Guinea-Bissau [ priority : 1 ]
Guyana [ priority : 6 ]
Haiti [ priority : 2 ]
Honduras [ priority : 2 ]
India [ priority : 2 ]
Indonesia [ priority : 2 ]
Iran, Islamic Rep. [ priority : 2 ]
Iraq [ priority : 3 ]
Jamaica [ priority : 3 ]
Jordan [ priority : 2 ]
Kazakhstan [ priority : 4 ]
Kenya [ priority : 2 ]
Kiribati [ priority : 2 ]
Korea, Dem. People´s Rep. [ priority : 1 ]
Kosovo [ priority : 3 ]
Kyrgyz Republic [ priority : 2 ]
Lao PDR [ priority : 2 ]
Lebanon [ priority : 3 ]
Lesotho [ priority : 2 ]
Liberia [ priority : 1 ]
Libya [ priority : 3 ]
Madagascar [ priority : 1 ]
Malawi [ priority : 1 ]
Malaysia [ priority : 5 ]
Maldives [ priority : 5 ]
Mali [ priority : 1 ]
Marshall Islands [ priority : 4 ]
Mauritania [ priority : 2 ]
Mauritius [ priority : 5 ]
Mexico [ priority : 4 ]
Micronesia, Fed. Sts. [ priority : 2 ]
Moldova Rep. [ priority : 3 ]
Mongolia [ priority : 2 ]
Montenegro [ priority : 4 ]
Morocco [ priority : 2 ]
Mozambique [ priority : 1 ]
Myanmar [ priority : 2 ]
Namibia [ priority : 3 ]
Nauru [ priority : 5 ]
Nepal [ priority : 2 ]
Nicaragua [ priority : 2 ]
Niger [ priority : 1 ]
Nigeria [ priority : 2 ]
North Macedonia [ priority : 3 ]
Pakistan [ priority : 2 ]
Palau [ priority : 5 ]
Panama [ priority : 6 ]
Papua New Guinea [ priority : 2 ]
Paraguay [ priority : 3 ]
Peru [ priority : 3 ]
Philippines [ priority : 2 ]
Romania [ priority : 6 ]
Russian Federation [ priority : 5 ]
Rwanda [ priority : 1 ]
Samoa [ priority : 2 ]
Sao Tome and Principe [ priority : 2 ]
Senegal [ priority : 2 ]
Serbia [ priority : 4 ]
Sierra Leone [ priority : 1 ]
Solomon Islands [ priority : 2 ]
Somalia [ priority : 1 ]
South Africa [ priority : 3 ]
South Sudan [ priority : 1 ]
Sri Lanka [ priority : 2 ]
St. Lucia [ priority : 5 ]
St. Vincent and the Grenadines [ priority : 4 ]
Sudan [ priority : 1 ]
Suriname [ priority : 3 ]
Syrian Arab Republic [ priority : 1 ]
Tajikistan [ priority : 1 ]
Tanzania [ priority : 1 ]
Thailand [ priority : 3 ]
Timor-Leste [ priority : 2 ]
Togo [ priority : 1 ]
Tonga [ priority : 2 ]
Trinidad and Tobago [ priority : 6 ]
Tunisia [ priority : 2 ]
Turkey [ priority : 4 ]
Turkmenistan [ priority : 3 ]
Tuvalu [ priority : 3 ]
Uganda [ priority : 1 ]
Ukraine [ priority : 2 ]
Uruguay [ priority : 6 ]
Uzbekistan [ priority : 2 ]
Vanuatu [ priority : 2 ]
Venezuela, RB [ priority : 5 ]
Vietnam [ priority : 2 ]
West Bank and Gaza [ priority : 2 ]
Yemen, Rep. [ priority : 1 ]
Zambia [ priority : 2 ]
Zimbabwe [ priority : 2 ]
Other
City of residence
Institutional and/or professional affiliation
Current academic or professional status
Master's student
PhD student
Postdoctoral researcher
Lecturer or assistant professor
Early-career researcher outside academia
Other (please specify)
Please specify
Email address
Spoken languages
Arabic
Chinese
English
French
German
Hindi
Italian
Persian
Portuguese
Russian
Spanish
Swahili
Other (please specify)
Please specify
Preferred language(s) for mentoring
Arabic
Chinese
English
French
German
Hindi
Italian
Persian
Portuguese
Russian
Spanish
Swahili
Other (please specify)
Please specify
Personal webpage, ORCID, zbMATH or professional profile
Personal webpage, ORCID, zbMATH or professional profile
Personal webpage, ORCID, zbMATH or professional profile
Add more items
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Academic Background
Main area(s) of interest and/or research in mathematics
Algebra
Analysis
Applied mathematics
Combinatorics
Geometry
Mathematical modelling
Numerical analysis
Optimisation
Probability
Statistics
Topology
Mathematics education
Theoretical computer science
Other (please specify)
Please specify
Please briefly describe your academic background and current mathematical interests.
Where did you study or where are you currently studying? What is your research about?
What is your current research topic or intended area of study?
Do you currently have a thesis or research supervisor?
Yes
No
Not applicable
Prefer not to say
Curriculum vitae
Please upload a current curriculum vitae.
One file only.
512 MB limit.
Allowed types: pdf doc docx odt.
Have you previously participated in a CIMPA activity?
Yes
No
I do not remember
Please indicate the CIMPA activity, location and year.
Motivation and Mentoring Needs
Why are you applying to the CIMPA Mentoring Programme?
In which areas would you most like to receive mentoring?
Clarifying research interests or identifying a research direction
Understanding mathematical literature
Developing research methodology
Academic and scientific writing
Preparing or revising a scientific manuscript
Selecting a journal and navigating the publication process
Preparing an academic curriculum vitae
Writing motivation letters or research statements
Applying for Master's or PhD programmes
Applying for postdoctoral or academic positions
Preparing grant or fellowship applications
Preparing conference talks or posters
Teaching and course development
Career planning within academia
Career planning outside academia
Developing an international professional network
Understanding international academic norms and practices
Leadership and academic responsibilities
Other (please specify)
Please specify
What is the most important objective you would like to achieve through mentoring?
What concrete goal would you like to work towards during the first three months?
What barriers currently make it difficult for you to achieve your academic objectives?
Limited access to specialists in my field
Limited research supervision or academic guidance
Limited access to research literature or scientific resources
Limited local or international academic networks
Language barriers
Limited experience with academic writing
Limited information about study, funding or career opportunities
Internet or technological constraints
Financial constraints
Personal, family or caregiving responsibilities
Disability or accessibility barriers
Prefer not to say
Other (please specify)
Please specify
Mentor-Matching Preferences
What mathematical expertise would you ideally like your mentor to have?
Would you prefer a mentor with experience in any of the following areas?
Research supervision
Academic publishing
Grant and fellowship applications
Graduate programme applications
Academic career development
Careers outside academia
Teaching and curriculum development
Building research networks
Supporting researchers in low-resource environments
Supporting women or under-represented groups in mathematics
No particular preference
Other (please specify)
Please specify
Do you have a preference concerning your mentor's gender?
No preference
Female mentor preferred
Male mentor preferred
Prefer not to say
Are there any professional, institutional or personal conflicts that CIMPA should consider when arranging a match?
This information will be treated confidentially.
Mentoring Format and Availability
Preferred mentoring format
Online individual mentoring
Online group mentoring
In-person mentoring, when feasible
No preference
Which communication tools can you use reliably?
Email
Zoom
Microsoft Teams
Google Meet
WhatsApp
Telephone
Other (please specify)
Please specify
Do you have sufficiently reliable internet access for regular online meetings?
Yes
Usually
Sometimes
No
Declaration, Conduct and Data Protection
Please confirm the following statements.
I confirm that the information provided in this application is accurate.
I understand that mentoring complements and does not replace formal academic supervision.
I understand that a mentor cannot guarantee admission, employment, publication, funding or other academic outcomes.
I agree to communicate respectfully and professionally with my mentor.
I will make reasonable efforts to attend agreed meetings and complete mutually agreed activities.
I will inform my mentor or the CIMPA programme coordinator if I am unable to continue participating.
I agree to comply with the CIMPA Mentoring Programme Code of Conduct.
Please read the
code of conduct
I understand how to report inappropriate behaviour or safeguarding concerns to CIMPA.
I understand that matching is subject to mentor availability and that CIMPA cannot guarantee a match.
I will send a report to CIMPA at the end of the mentoring period.
Data-processing Consent
I consent to CIMPA collecting and processing the information submitted through this form for the administration, evaluation and monitoring of the Mentoring Programme. I understand that relevant information may be shared confidentially with potential mentors for matching purposes, in accordance with CIMPA's privacy policy.
May CIMPA use an anonymised version of your feedback in reports or communications about the programme?
Yes
No
CIMPA will contact you after the mentoring period for feedback and programme evaluation. This information will at least be used internally.
Additional Information
How did you learn about the CIMPA Mentoring Programme?
CIMPA website or newsletter
CIMPA School or course
University or research institution
Mathematical society
Social media
Colleague, supervisor or teacher
Other (please specify)
Please specify
Is there any additional information that would help CIMPA identify an appropriate mentor for you?
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