IT Women Mentoring Program | Application Form

Welcome to the IT Women Mentoring Program application form.

We recommend saving a copy of your answers before submitting the form just in case a technical or connectivity issue were to occur.

Once you complete the process, you will receive a message confirming that the application has been received. If you do not receive this message, please contact mentoreo@lacnic.net.

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Section 1. Applicant Information
Name and surname*
First Last
Email*
Phone number*
Country of residence*
Section 2. Professional Experience
Academic Background and professional experience*
Describe your academic training and/or professional experience. Also, describe which lines and topics interest you (see lines and topics of research/work here https://www.lacnic.net/innovaportal/file/4883/1/cartera-tematica_lineas-ejes-investigacion_en.pdf). Maximum: 250 words
Attach your CV*
Max. file size: 100 MB.
Section 3. Motivation
What is the main motivation for participating in the IT Women Mentoring Program?*
Max. 250 words.
How do you plan to continue to be involved in the LACNIC ecosystem after the end of the program?
Max. 250 words.
Section 4. Proposed idea
Briefly describe the idea (associated with a line/topic) that you wish to carry out in order to detect, conceptualize and make possible proposals that will be captured in a research poster.*
Maximum: 500 words
Provide two references.
Be sure to notify them that they may be contacted.
Reference No. 1*
First Last
Relationship with the applicant
(e.g., superior, professor, colleague, etc.)
Position
Organization
Phone
Email*
Reference No. 2*
First Last
Relationship with the applicant
(e.g., superior, professor, colleague, etc.)
Position
Organization
Phone
Email*
Confirmation*
I have the time available to fulfill the activities and responsibilities of the Program. This includes carrying out research/work during the 6 months of the program, taking the training provided, and attending meetings with both my mentor and the program staff. I also express my willingness to continue being involved in future activities of the LACNIC community.
Email
This field is for validation purposes and should be left unchanged.

Section 1. Applicant Information

Section 2. Professional Experience

Section 3. Motivation

Section 4. Proposed idea

Provide two references.