SWRO Mentorship Sign Up
Sign up here to find a mentor! If you are interested in serving as a mentor, please answer the asterisked questions. Deadline for the next pairing will be February 15, 2019!
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your email address? *
Your answer
What city and state are you in? *
Your answer
Do you identify yourself as an under-represented minority (URM)? *
How would you identify yourself? *
If you are a resident, what year are you in training?
What kind of mentor are you seeing?
Do you wish to be a mentor or a mentee? *
How do you want to communicate with your mentor/mentee? *
Required
What kind of practice are you in?
What kind of practice are you seeking?
What are the most important things to you in a mentor?
Are you attending the ASTRO 2019 annual meeting?
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