JC School of Public Health and Primary Care - Mentorship Programme - Mentor Application 2024 - Page 1 of 3

JC School of Public Health and Primary Care - Mentorship Programme - Mentor Application 2024

Thanks for registering as mentor at JC School of Public Health and Primary Care, CUHK.

Participation in the mentorship program is on voluntary basis and the partnership is based on mutual trust. The mentoring relationship will officially start in November and end in July (of the next year). Mentors and mentees are encouraged to meet up at least 4 times throughout the programme.

Activities include:
- Mentorship Programme Opening Mixer (6 November 2024)
- Self-arranged meetings between mentors and mentees (November 2024 - July 2025)

1Section A. Personal Information > 2Section B. Your Education and Career Background > 3Section C. Your Preference
Section A. Personal Information
Salutation

Salutation Prof. Dr. Mr. Mrs. Ms. Miss.
Name Name First Last
Example:
First Name: Tai Man
Last Name: Chan
Preferred Name
Gender

Gender Female Male
Mobile Phone No. (to be released to your Mentee(s) only)
Email
Affiliation with us

Affiliation with us Alumni of CUHK Master of Public Health Alumni of CUHK MSc in Epidemiology and Biostatistics Alumni of CUHK MSc in Health Services Management Alumni of CUHK BSc in Community Health Practice Alumni of CUHK BSc in Public Health Alumni of CUHK BSc in Gerontology CUHK Alumni Other Other
Year of Graduation
Disclaimer The personal data collected will be used by The Jockey Club School of Public Health and Primary Care - Admin Office (SPHPC_ADM) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.