2022 SVS International Mentee Sign-up Question Title * 1. Please complete the following information: First Name Last Name Degree (Ex: MD, MBBS) City Country Email Question Title * 2. Age Under 24 24-30 31-35 36-40 Over 40 Question Title * 3. Have you previously applied for the International Scholars Program? Yes, and was accepted Yes, and was not accepted No Question Title * 4. Have you previously applied for the International Mentoring Program? Yes, and was accepted Yes, and was not accepted No Question Title * 5. I have access to internet video conferencing. Yes No Other (please specify) Question Title * 6. Please upload your CV. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your CV. Question Title * 7. Please upload a draft of a proposed manuscript or presentation you plan to work on with your mentor. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a draft of a proposed manuscript or presentation you plan to work on with your mentor. Question Title * 8. Please upload a letter of interest. This letter should demonstrate scholarly interest and what you hope to gain from the mentoring program. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a letter of interest. This letter should demonstrate scholarly interest and what you hope to gain from the mentoring program. Done