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AMSA Mentor Form
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First and Last Name
Your answer
Major
Biomedical Sciences
Health Sciences
Other:
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Year?
Second Year
Third Year
Fourth Year or More
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What volunteering experiences have you had?
Your answer
What shadowing/clinical experiences have you had?
Your answer
What research experience have you had?
Your answer
Do you have any other interesting experiences you would like to share?
Your answer
Will you be able to make the first Mentorship Social on 10/9 at 5:00pm?
Yes
No
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Contact Info? (Phone, email, etc.)
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