2021 Medical Mentors Program - Mentee Response Form
Hello everyone! Thank you for your interest in in being paired with a UNC School of Medicine Mentor.
Please fill this form out by September 24. We'll send out assignments and contact information a few weeks after. Around then, we'll host a Zoom Meet 'n Greet to allow a time for you to talk with your mentor and others in the program.

If you have any questions, feel free to contact the student leaders of Medical Mentors Program (MMP) listed below:

Arvind Sivashanmugam, MS2 (arvind_sivashanmugam@med.unc.edu)
Simrat Arora, MS2 (simrat_arora@med.unc.edu)
Paige Takasugi, MS2 (paige_takasugi@med.unc.edu)
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Name (first and last) *
Pronouns
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Email *
Year *
Are you a first generation college graduate?
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Will you be a first generation medical student?
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Are you involved in any special/scholarship program at UNC?
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Major(s) *
Are you planning to take one or more years between undergrad and medical school? *
Are you interested in a dual-degree program?
What specialties are you interested in?
Do you hope to match with a med student who may share a similar background with you? Let us know potential preferences below. (ex: race/ethnicity, LGBTQ+, cultural background, lower income, out-of-state, student-athlete, etc.)
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