One Step Ahead Mentoring Program (OSAM) Medical School Track 2023-24: Mentor Registration

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Welcome to the OSAM Program!

Email *

Record my email address with my response

Your First Name *

Your Last Name *

Your email address *

netid@georgetown.edu

Have you mentored a protege in previous years for OSAM? If so what years? *

We are seeking volunteers as part of this year's OSAM Mentor Ambassador Program. Are you interested in participating in the strategic planning and execution of this year's program events?
*

Yes

Maybe

Would you be willing to mentor more than one masters student? *

Yes

Maybe

Your Medical School Year? *

Gender: How do you Identify?

Male

Female

Non-binary

Prefer to self-describe, below

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Gender: How do you Identify?

Your Ethnicity *

American Indian/Alaskan Native

Asian

Black or African American

Caucasian/white

East Indian

Inter-racial

Middle Eastern

Native Hawaiian or other Pacific Islander

Prefer not to answer

Other:

Hispanic or Latino? *

Yes

Prefer not to answer

Think back to when you might've been a Protégé... what information would you have found helpful to receive from a current Medical student? *

Help us learn a little more about you. This information will be very important in helping us to pair you with your Protégé.

What challenges did you overcome during your application process and how can they be of help to the protégé? *

Do you have any questions or concerns? *

Send me a copy of my responses.

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