Skip to main content
Wright State University
College of Science & Mathematics
Calendar
Directories
Maps
Pilot
WINGS
APPLY
Search Wright State
Home
Degrees & Programs
Admission
Advising & Resources
Research
Experiential Learning
Alumni & Giving
About
Mentor Matching Survey
Personal Info
First Name
Required
Last Name
Required
Age
Required
Hometown
Required
Major
Required
Student Status (choose all that apply)
Required
MS1
MS2
MS3
MS4
MD/MBA
MD/MPH
Other...
Student Status (choose all that apply) Other...
Phone
Required
E-Mail
Required
Are/Were you a traditional student? (i.e. attending medical school directly from undergraduate)
Required
Yes
No
What activities (clubs, sports, etc.) are you currently involved in on or off campus?
Required
What do you enjoy doing in your free time when you aren't studying?
Required
What draws you to a health care profession?
Required
What health care experience do you currently have?
Required
List any specialties you are interested in.
Required
Is anyone in your family in a health care profession? What do they do?
Required
Why do you want to be part of the health professions mentoring program?
Required
Contact Preferences
Communication Frequency
Required
Weekly
Biweekly
Monthly
A few times a year
No preference
Relationship Type
Required
Casual
Structured
Other...
Relationship Type Other...
What is the best way to contact you?
Required
Phone
E-Mail
Matching Priorities
I would prefer to be matched with someone who has the same undergraduate major.
Required
1 - Not Important
2
3
4
5 - Vey Important
I would prefer to be matched with someone with the same interest in medical specialty.
Required
1 - Not Important
2
3
4
5 - Very Important
I would prefer to be matched with a non-traditional student.
Required
Yes
No
No Preference
I would like to coach about the following topics (choose all that apply):
Required
AMCAS application
MCAT preparation
Interviewing skills
Life as a medical student
Application process
Personal statement
Study skils and habits
Medical school selection process
Strategies for re-applying
Research
Shadowing
Other medical professions
Other...
I would like to coach about the following topics (choose all that apply): Other...
Additional Requests
Leave this field blank
