Please complete this application for the 2024-2025 Mentorship Program.

If you are an alumnus and would like to apply as a mentor, please apply here.

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* 1. First Name

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* 2. Last Name

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* 3. Student ID (UID)

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* 4. Please indicate your personal pronouns. Read more about pronouns here. Your response to this question is optional. This will be shared with your mentor.

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* 5. Ethnicity

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* 6. Do you identify as a first generation college student?

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* 7. In an effort to support our international student population, we would like to include an option to be matched with an alumni mentor that has a similar background and/or educational experience. If you are interested in being matched with a mentor that could share his/her own experience as a grad student, resources, using OPT/CPT, getting employer sponsorship, etc., please indicate so below.

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* 8. Preferred Email

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* 9. Preferred Phone

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* 10. Linkedin Profile

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* 11. Select whether you are an incoming or continuing student.

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* 12. If you already have a Master's degree or additional degrees please list them here:

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* 13. Intended FSPH degree

Please note mentoring is not open to MDHS and BS/BA students at this time.

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* 14. Intended graduation year

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* 15. If you are in a joint degree program, please specify which program

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* 16. Which industry do you plan to work in after you graduate?

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