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Student-Doctor Mentorship Program
We are continually compiling a list of doctors who would be willing to have a shadowing student, preceptor in their office, and/or to provide mentorship to a student.
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* Indicates required question
Name (First and Last)
*
Your answer
Email
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Your answer
What is your business website?
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Your answer
Which country do you practice in?
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Your answer
Which city do you practice in?
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Your answer
Where did you go to school? List school name and country it was located in.
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Your answer
Which of the following do you have? (check all that apply)
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ICSC Certification
A different post-graduate sports chiropractic qualification specific to my country
No additional sports qualifications yet
Required
How many years have you been practicing?
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Your answer
Which would you like to do? (check all that apply)
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Host a preceptor
Be a mentor
Host a shadowing student for the day
Required
What languages are spoken at the office?
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Your answer
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