Sign up to be a MHP Mentor!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are looking for recent graduates, residents, or professionals that are not only familiar with their fields, but also the application process and USA Standardized Testing for the respective fields (e.g., MCAT, DATS, GRE, etc). Each mentor will ideally meet with their mentee's at least 1 time per quarter and attend a mentor/mentee mixer at the beginning of the program.

If you would like to sign up to be a mentor, please fill out the form below and we will match you to mentee interested in your profession!

First & Last Name *

Email Address: *

Profession: (medical student, dentist, therapist, nurse, physician, etc.) *

Location (City you work/live in) *

Number of Mentee's you are able to take *

Would you prefer a male or female mentee? *

Male

Female

No preference

Can students shadow you at your employment? *

Yes

Other:

Would you be interested in leading a workshop with the mentee's? (Ex: Mock interviews, grad school application process, how to get clinical/research experience and etc) *

Yes

N/A

If yes to the previous questions, what would you be interested in leading? *

Will you be able to attend a Mentor/Mentee Mixer Event on either (Date/Time/location TBD):

Yes

Other:

Clear selection

Any additional comments or concerns

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms