Summer Research 2015 – Mentor Feedback Form

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We would like to have your views on any aspect of the program for further improving its conduct and outcomes. We have designed a Feedback Form that can be easily completed online by you within minutes.

Feedback and Suggestions

1. Name of your intern

This is for the mentors who had more than one intern
Kindly fill one form for each intern

2. Total time you spent with intern (including emails, phone etc) *

Less than 4 Hours

4 - 8 Hours

8 - 12 Hours

Over 12 Hours

3. Your rating of the intern's work [1 - Very Poor to 10 - Exceptional] *

4. Would you like to be a mentor next year again ? *

Definitely

Willing to consider

Would not be available

4.5. Please suggest project(s) topics for which you would be willing to be a mentor in future

5. In your opinion, the research work done by the intern *

Can be published in a journal or presented at a Conference

Can be published in a Government Publication

Is not publishable

Other – (Please specify below)

5a. How and where the research should be published or presented

5b. If you consider the work as publishable, would you be able to guide your intern in publishing?

Yes

May be

Too busy to help

5. Your feedback about mentorship experience and about this program

Mentor Details

Greeting *

First Name *

Last Name *

Preferred email address *

Kindly upload your passport size photo for Brochure – 2014, website, and the proposed Newsletter.
This is how last year's mentor's photos were shown in the brochure

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Your brief CV that can be used in the Brochure, Website and Newsletter

Summer Research 2015 – Mentor Feedback Form

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