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SMI Mentorship Program Application (mentor)
First and Last Name
*
Email
*
Phone Number
*
Current Institution
*
Current Position / Stage of Training
*
High-School
Medical Student — MD/DO
Resident
Fellow
Attending Physician
Dentist / Dental Student
Other Healthcare Professional
If you are a medical student, resident, or fellow, what year of training are you currently in?
*
What is your specialty or intended specialty?
*
What type of mentee(s) would you feel comfortable mentoring?
High school students interested in healthcare
Undergraduate / pre-med students
Medical students
Dental students
Residents
No preference
What areas would you feel comfortable providing mentorship in?
Choosing a major / pre-med coursework
MCAT preparation
Medical school applications
Personal statement/application review
Finding clinical/shadowing/research experience
Leadership and service opportunities
Medical school interview preparation
Medical school study strategies
USMLE/COMLEX preparation
Choosing a medical specialty
Building a competitive residency application
CV/resume review
Personal statement review
Away rotations
Residency interview preparation
Networking and professional development
General career guidance
Other
Are there particular specialties or career interests you would prefer your mentee to have?
*
How would you prefer to support your mentee? *
*
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?
*
Every 2 weeks
Monthly
Every 1–2 months
As needed
No preference
What is your preferred method of communication?
*
Email
Text message
Phone call
Zoom/virtual meeting
No preference
How many mentees would you be comfortable mentoring at one time?
*
1
2
3
4+
Depends on the circumstances
Is there anything else you would like us to consider when matching you with a mentee?
Please upload a copy of your CV/Resume (optional)
Click to choose a file or drag here
Size limit: 10 MB
Submit
