Mentee Application:

Here is the information that should be provided to the person you approach to serve as your mentor.

You must not approach more than one person at a time, but if your initial application is unsuccessful you may ask someone else.


Title:  
First name:
Surname:
Current post:
E-mail address:
Telephone number:
Fax number:
Address:
Country:

Areas of research:
Disciplines
Aetiology
Behavioural Pharmacology
Clinical Pharmacology
Epidemiology
Ethnography
Genetics
Harm Reduction
Health Services
Human Research
Immunology
Molecular Biology
Neurochemistry
Neurophysiology
Neuroscience
Pharmacokinetics
Pharmacology
Policy
Prevention
Psychology
Public Health
Qualitative Research
Toxicology
Treatment
Virology
 
 
Substances
Alcohol
Cannabis
Ecstasy
Hallucinogens
Inhalants + Solvents
Ketamine + PCP
Nicotine + Tobacco
Opioids
Psychomotor stimulants
Sedatives + Hypnotics

 
Please list your qualifications in this table (e.g., B.Sc, M.Sc, PhD):
Please list any recent publications into this table:
Please list any grants you have been awarded into this table:

 

Information about the planned publication in relation to which you are seeking a mentor.

 
Please provide a summary of the aims of the study, the methods used, and the main findings; an abstract of a presentation of the work given at a conference would be suitable if available:
   
Select your preferred mentor from the drop-down lists below (to be added shortly - please leave blank at present). If you don't know a mentor's area of expertise, look for their publications in PubMed and on their Institution's website.



Mentor 1:

Mentor 2:

Mentor 3:


Enter here any further information that may be useful:

 



 

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