WISH 2017 Mentorship Program Application
Please complete the form below with your information. Email wish2017chi@gmail.com if you have any questions.

WISH Website: https://wishworkshop.wordpress.com/

First Name: *
Your answer
Last Name: *
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University: *
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Email Address: *
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Current Degree Program of Study: *
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Please describe any past experience you have had with research or practice in human-computer interaction or health/medical informatics and/or the research or practice you would like to achieve in the future: (200 words or less) *
Your answer
Why are you attending WISH 2017? (100 words or less) *
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Why would you like to participate in the mentoring program at WISH 2017, and what do you hope to get out of it? (200 words or less) *
Your answer
What topics would you be interested in discussing with a mentor? e.g., Any particular research areas you want to learn more about? Are you trying to decide between academia and industry? Other advice you’d like about your education or career? If you are selected for the mentoring program, we will use this information to match you with a mentor. (200 words or less) *
Your answer
Who would you most like to meet and talk to at WISH or CHI this year, and why? (Keeping in mind that we cannot assure anyone’s attendance or availability at WISH, we will try use this information to pair you with someone who may be able to provide you the best mentorship) (100 words or less) *
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