GWISE/WISE: Mentor Application 2014-2015
Thank you for your interest in the GWISE/WISE Mentoring Program. The objectives of this program are to: 1) Connect the undergraduate and graduate WISE communities; 2) Support the academic and professional growth of undergraduate women in STEM fields; and 3) Provide an opportunity for graduate WISE students to develop as future leaders and mentors. Please fill out this form by Monday January 26, 2014 so we can match you with a suitable mentee.
Sign in to Google to save your progress. Learn more
Name *
E-mail *
Department *
Undergraduate major *
Year *
Did you participate in the GWISE/WISE Mentoring program Spring 2014?
Clear selection
If you participated as a mentor last year, would you prefer to be paired with your previous mentee? If yes, please type the name of your previous mentee.
**Please note this will NOT guarantee that you will or will not be matched with your previous mentee.
Clear selection
Do you have previous mentorship experience? If so, please describe. *
Please describe why you would make a good mentor to an undergraduate WISE student. *
In what ways can you contribute to the growth and development of your mentee? *
What do you expect to gain or learn from this mentoring experience? *
What are some tools or resources GWISE can provide in order to help you build a productive relationship with your mentee?
Would you be willing to mentor more than one WISE student? *
Are you familiar with the medical school application process? *
Would you be willing to mentor a student on the pre-medical track? *
Please mention any other questions, comments, or concerns.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy