Sign up to be a SAMSA mentee (MS3/MS4 Form)!
“Mentoring is a brain to pick, an ear to listen, and a push in the right direction.” — John Crosby

We are looking for mentees who can spend at least 2-4hrs/month to:
- Initiate and communicate expectations regarding the relationship via a mentoring agreement
- Collaborate with the mentor to identify competency strengths and weaknesses
- Meet with the mentor on a regular basis (i.e., monthly) or as established by the mentoring agreement
- Maintain confidentiality within the mentoring relationship

***This form is for registered SAMSA medical students only. Please fill out this registration form if you have not already! https://forms.gle/xe9xQwpMQqYG8ecp8

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Email *
Name: *
What institution are you affiliated with? *
Graduating year (class of 2022, 2023, etc.) *
MD or DO *
What academic year are you: *
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