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Section 1 of 2
 HNMP Mentee Application-- Due 9/12 @ 11:59pm
Health Network Mentorship Program (HNMP)
Name
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Section 2 of 2
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aren’t JHU Email
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Health care interest
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Nursing
Medicine
Public health
Physicians assistant
Physical therapy
Other…
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Major
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Are you located in or within driving distance from Baltimore?
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Yes
No
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Graduation Date - please note: HNMP runs until the  end of spring 2023. If you are graduating Fall 2022, you are not eligible for this program.
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How do you prefer to communicate with your mentor?
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Email
Text
Phone call
Any of the above
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What do you hope to gain from this mentorship?
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Career interests: please briefly describe (1) areas of healthcare or public health that you are interested in (if any) and (2) future career goals.
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Service learning interests: please describe any areas of community service, or populations in Baltimore that you are interested in (for example, interests in substance use recovery, neighborhood enhancement efforts, food pantries, etc...). If you are open to anything, please indicate that as well.
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Are there any community-based organizations with which you are already involved?
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Do you already have any ideas for a service project? If not, this is okay.
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I recognize that HNMP is a two semester commitment (Fall 2022-Spring 2023).
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Yes
Other…
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I recognize that there will be monthly meetings with my mentor and regular check ins with the HNMP leaders. I will respond to my mentor within 48 hours unless I have informed them of my absence. 
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Yes
Other…
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I understand that my mentor and I will present about our service learning project at an HNMP event in April, 2023.
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Yes
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or
add "Other"
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Please use this space to tell us any special considerations or comments you may have.
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Name
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Untitled Section
aren’t JHU Email
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Health care interest
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Major
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Are you located in or within driving distance from Baltimore?
Copy
No responses yet for this question.
Graduation Date - please note: HNMP runs until the  end of spring 2023. If you are graduating Fall 2022, you are not eligible for this program.
Copy
No responses yet for this question.
How do you prefer to communicate with your mentor?
Copy
No responses yet for this question.
What do you hope to gain from this mentorship?
No responses yet for this question.
Career interests: please briefly describe (1) areas of healthcare or public health that you are interested in (if any) and (2) future career goals.
No responses yet for this question.
Service learning interests: please describe any areas of community service, or populations in Baltimore that you are interested in (for example, interests in substance use recovery, neighborhood enhancement efforts, food pantries, etc...). If you are open to anything, please indicate that as well.
No responses yet for this question.
Are there any community-based organizations with which you are already involved?
No responses yet for this question.
Do you already have any ideas for a service project? If not, this is okay.
No responses yet for this question.
I recognize that HNMP is a two semester commitment (Fall 2022-Spring 2023).
Copy
No responses yet for this question.
I recognize that there will be monthly meetings with my mentor and regular check ins with the HNMP leaders. I will respond to my mentor within 48 hours unless I have informed them of my absence. 
Copy
No responses yet for this question.
I understand that my mentor and I will present about our service learning project at an HNMP event in April, 2023.
Copy
No responses yet for this question.
Please use this space to tell us any special considerations or comments you may have.
No responses yet for this question.
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