Kurt - Webbaserade enkäter

1.

First name - Required

2.

Last name - Required

3.

Email address - Required

4.

Phone

5.

Disciplinary Domain

Humanities and Social Sciences

Medicine and Pharmacy

Science and Technology

6.

Title - Required

7.

Department - Required

8.

In my research, I create: - Required

Inventions (e.g. material, tool, instrument, cell-line, animal strain, drug, compound, computer implemented invention)

Data sets (e.g. survey results, measurement from sensors, interview responses, results from series experiments, simulation data, patient data, literature compilation)

Models (e.g. statistical model, phylogenetic tree, taxonomy for learning styles, conceptual model, theoretical framework, computer architecture)

Methods (e.g. recipe, guideline, a way of working to gather data, a lab/experimental method, a production method, an algorithm, a method of cooperation, a process for managing materials or equipment, a teaching method, an advisory method)

Software (e.g. program made for analysis of data, simulation, control systems, benchmarking systems)

Design (e.g. pattern for a fabric, artwork, music, sheet profile, user interface)

I´m not sure

Something else, namely:

9.

I think my research results could help improve: - Required

Effectiveness (for example, by increasing quality or reducing inputs/resources such as time, energy, or money)

Sustainability (environmental, economic and/or societal)

Society (like making it safer, more secure or more open, inclusive and equal)

Health (such as increasing well-being, quality of life, or survival)

Education (for example, improving conditions for learning, skills development, or personal development)

Cultural understanding and change (for example, values, awareness, accessibility)

Political systems and decisions (for example, how decision makers act, how guidelines or laws develop)

I´m not sure

Something else, namely:

10.

I think my results could be used by: - Required

Individuals

Companies / the industry

Government agencies or other public organisations

Nonprofit organisations

The healthcare system

Cities / municipalities

I´m not sure

Someone else, namely:

11.

Describe your research based idea (max 250 characters). - Required

12.

Have you discussed your research based idea with UU Innovation? - Required

Yes, I have already been in contact with UU Innovation regarding my idea

No, but I would you like to book a first meeting with UU Innovation regarding my idea

13.

What is your goal with participating in the mentor program? - Required

14.

What would you like to learn from a mentor? - Required

15.

Do you have the time to fully engage in the program throughout the period Feb-Nov 2023 (estimated time ~30 h)? - Required

Yes

No

16.

Will you be employed by UU throughout the program period Feb-Nov 2023 (formal requirement) - Required

Yes

No

17.

How did you learn about the mentor program?

Available	2022-10-01 – 2022-11-15
Contact person	Hillevi Englund, employed at Uppsala universitet Innovation (UU Innovation)

Application for the UU Innovation Mentor Program (start February 2023)