2022-23 REACH Mentoring Application-Mentee
Dear mentee applicant,

We are delighted in your interest in being mentored by a medical student or other health science student in the R.E.A.C.H. Mentorship Program. Before completing the application make sure you have read the R.E.A.C.H. policies and procedures manual. This application will be viewed by the R.E.A.C.H. Mentorship committee. Application deadline is due October 7, 2022.

If you or your legal guardian have ANY questions, please contact the South Dakota HOSA State Advisor Brock Rops via phone: 605.357.1576 OR email: Brock.Rops@usd.edu.

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Email *
Application Checklist *
Required
Name of Mentee *
Name of HOSA Chapter *
Date *
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Address (City, State, Zip) *
Age and Grade in School *
Phone *
What health sciences programs are you most interested in? (Check all that apply) *
Required
How would you describe your personality?(Check all that apply) *
Required
What do you do in your free time? (Check all that apply) *
Required
What do you hope to gain as a mentee? *
Have you engaged in a mentor/mentee program before? (If yes, explain in other) *
Required
In order to best match mentors/mentees, please select all identifiers that apply to you so we can match you with a similar mentor.(For example: If you want to be matched with same gender...mark that box and type your gender in the "other" section at bottom of answers). Check all that apply. *
Required
What is your current GPA? *
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