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BME Mentoring Program
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email
*
Your answer
BME Degree Received from Northwestern
*
BS
MS
PhD
Required
Year Northwestern degree(s) was awarded (if multiple degrees were awarded, please list all years)
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Your answer
How many mentees are you willing to take?
*
1
2 (Suggested)
3
4
Are you interested in being part of a focus group once per year to discuss useful mentoring topics and suggested program improvements?
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Yes
No
What area do you work in?
*
Academics
Government
Industry
Law
Medicine
Other:
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