Mentoring Program Survey for Mentors

Would you like to mentor a student interested in pursuing a health career (e.g., medicine, pharmacy, physical therapy, etc.)?  Or, how about mentoring a science major considering research or teaching as a career?  If so, we'd love to have you be a part of our mentoring program.  To be considered, please complete and submit the application below.

Are you currently in professional school? Required

Contact Information

What is the best way to contact you? Required
Are you willing to speak to students as a group? Required
if yes, would you like to present individually or with others Required
e.g., on a Health Care Careers Panel
Are you interested in mentoring individual students approximately 30 minutes per week? Required
Would you prefer mentoring via email, in person or by telephone? Required
Are you willing to have a student shadow you? Required
Does your office or hospital affiliation offer group tours? Required