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SMI Mentorship Program Application (mentee)
First and Last Name
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Email
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Phone Number
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Current Institution
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What is your current stage in your academic career?
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High-School
Undergradaute
MD/DO
Resident
Dental
Other
Pre-Med Students:
What do you hope to gain most from mentorship? (Choose up to 3)
Choosing a major / planning pre-med coursework
MCAT preparation
Building a medical school application
Personal statement/application review
Finding clinical experience
Finding shadowing opportunities
Finding research opportunities
Leadership/service opportunities
Interview preparation
Choosing between MD and DO programs
Understanding what medical school is actually like
General career guidance
Other
Medical Students:
What do you hope to gain most from mentorship? (Choose up to 3)
Adjusting to medical school
Study strategies
USMLE/COMLEX preparation
Research opportunities
Choosing a specialty
Building a competitive residency application
CV/personal statement review
Clinical rotation advice
Finding mentors within a specialty
Networking with physicians/residents
Away rotations
Residency interview preparation
Work-life balance
General career guidance
Other
What specialty or area of medicine are you currently interested in?
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How would you like your mentor to help you?
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Regular check-ins and accountability
Answer questions when they come up
Help me find opportunities
Review applications/CV/personal statements
Give career and specialty advice
Introduce me to people in their network
Share their own experiences and lessons
A combination of these
How often would you ideally communicate?
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Every 2 weeks
Monthly
Every 1–2 months
As needed
No preference
What is your preferred method of communication with your mentor?
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Email
Text message
Phone call
Zoom/virtual meeting
No preference
Short Answers:
What is one goal you would like your mentor to help you achieve within the next year?
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What is your biggest current challenge or question in your journey toward medicine?
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Is there anything else you want us to consider when matching you with a mentor?
Please upload a copy of your CV/Resume (optional)
Click to choose a file or drag here
Size limit: 10 MB
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