MV3 Professional Mentor Interest Form
The MV3 Foundation is a 501(c)(3) nonprofit organization that invests in the personal and professional development of Black undergraduate students pursuing careers in health and/or biomedical science. Through a dynamic mentorship model, we equip our MV3 Scholars with the support, tools, and network needed to mobilize their personal stories, interests, and education to create a health and science workforce that is better equipped to both advocate for, and serve, communities of color.

At the Foundation, our team of students and professionals support our scholars’ academic and professional growth through a dynamic and predominantly virtual mentorship model involving 2 major programs, one of which is a group-based professional development program with career discernment activities, personal growth sessions, and networking opportunities.

The professional development program is led by dedicated Black professionals in health or biomedical science who bring their expertise, experience, and passion to mentoring groups of Black scholars. Mentors will work with approximately 4-6 students in their "MV3 Families" in monthly sessions focused on personal reflection & growth, professional skill development, and building community with likeminded peers. MV3 Families will conduct monthly activities centered on yearly themes corresponding to each year in a typical 4-year undergraduate timeline: Who am I?, Building your Brand, Advocacy in Action, and Investing in the Future.

Please fill out the following form to receive additional information. We expect to reach out to interested individuals in June and July. The inaugural MV3 Scholars Program will begin in August 2022 and end in May 2023.

For more info, please visit our website:
Sign in to Google to save your progress. Learn more
Full Name *
Email Address *
Phone Number
Administrative Assistant
If you have any administrative assistant who might be able to help with scheduling, please list their name and email/phone number below
We collect demographic information because some of our scholars prefer to be paired with mentors with similar demographic characteristics. As such, we hope to develop a registry that allows us to make such connections where appropriate, in an effort to promote meaningful and thoughtful mentorship.
Race/Ethnicity *
City of residence *
State of residence *
Current or Most Recent Occupation/Position *
Current or Most Recent Organization/Employer *
Undergraduate Institution(s)
Graduate/Professional Institution(s)
Academic degrees/Professional Licenses
Link to LinkedIn/Website/Portfolio
Did you attend a historically Black college or university (HBCU) or minority-serving institution (MSI) for your undergraduate or graduate studies?
Clear selection
Please provide a brief personal and professional summary (Maximum 100 words). *
We would love to get a sense of who you are both personally and professionally. This can include (but is not limited to) your personal interests, current journey, career goals, role models, etc.).
Please describe why you are interested in being a Professional Mentor in the MV3 Scholars Program (Maximum 300 words). *
We ask that you draw on your own personal and professional journey in describing your interest in this program.
Please describe your qualifications for being a Professional Mentor in the MV3 Scholars Program (Maximum 150 words). *
This may include (but is not limited to) experiences with teaching, mentoring, and working with college-aged individuals and any skills you have cultivated that could be useful for leading group sessions.
Do you have a preference for a particular grade level? Note: there will be a different theme for each grade level.
Do you have any general questions or concerns regarding your involvement with MV3?
Would you like to be considered for any of the following additional MV3 opportunities? (Check all that apply) *
How did you hear about MV3? (Check all that apply)
Clear form
Never submit passwords through Google Forms.
This form was created inside of The MV3 Foundation. Report Abuse