HNA Mentorship Program 2021-2022 – Apply to be a Mentor
Thank you for your interest in the HNA Mentorship Program.  Please fill out the questionnaire below by August 20, 2021. The mentorship program will run from September 15, 2021 until July 1, 2022. Mentors and mentees will be matched by the HNA Mentorship Committee and notified in early September.
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Email *
Name: *
Current affiliation (institution and title, if applicable): *
Please check all that best characterize your professional interest: *
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Please list your primary areas of interest and/or expertise: *
Have you participated in the Mentorship Program previously? *
Please indicate particular questions and/or aspects of our field that you feel particularly able to address as a mentor: *
Please indicate any affiliations/conflicts you have outside of your current institution or workplace of which we should be aware when assigning you a mentee. If not applicable, you may leave this section blank.
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