Request edit access
PNASD Mentee Form
Hi! If you are interested in being paired with a PNASD mentor please fill out this form below!

The mentorship program is a great way to be paired with an established RN mentor within PNASD. Not only will this allow you a direct contact when navigating PNASD meetings and community events, it will provide you with an excellent resource for your nursing career. PNASD members represent experienced clinicians from across the healthcare field. Whether your interests are in bedside nursing, community health, leadership, administration, or advanced practice, there is a mentor for you. The goal of the mentorship program is to support future nurses to be successful by having someone they can turn to for advice or someone to aid them in their professional development. 
Sign in to Google to save your progress. Learn more
Your Full Name *
Describe yourself in one sentence *
On a scale from 0-4, how much do you agree with the following statements? *
0= not at all
1= a little bit agree
2= somewhat agree
3= mostly agree
4= definitely agree
I am an extrovert
I want my mentor to be my go to person and reach out to me often
I see mentorship as a professional development opportunity
I see mentorship as a friendship opportunity
Which nursing specialty are you most interested in? *
Please list your hobbies and tell us a little bit about yourself *
Are you interested in learning more about a certain hospital or organization? If so please list the organization below. If not, please put N/A.
How would you like to be paired with your mentor? *
Anything else we should know about you?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms