EPG mentoring program -- Mentee sign-up form.
Please fill out this form as completely as possible. If you have any questions, please email David Konisky (dkonisky@indiana.edu).
Sign in to Google to save your progress. Learn more
Email *
Name *
What is your current position? *
What is your current institution? *
What is your main discipline of study? *
Required
What is your major area(s) of research? [Check all that apply.] *
Required
Please write a few sentences on what you hope you to get out of the EPG mentoring program, and discuss if you have any specific requests regarding a mentor? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Indiana University. Report Abuse