FSHN Mentoring Hui RDN Form
Mahalo for your contribution to the FSHN Mentoring Hui Program!
Name *
First and Last
Your answer
Email Address *
Your answer
Phone Number
Please indicate Cell # OR Office #
Your answer
Work Site & Job Title(s)
Your answer
Educational Details & Credentials
Your answer
Areas of Interest
If you checked "Disease-Specific" please indicate:
From previous Areas of Interest question
Your answer
If you checked "Other" please indicate:
From previous Areas of Interest question
Your answer
Other Guidance you could offer to your Mentee?
(e.g. Career Strategies, Work-life Balance, Dietetic Internship Process, etc)
Your answer
How many hours each month are you able to devote to mentoring activities?
Are you willing to mentor more than one student?
Do you have any questions, comments, or suggestions?
Your answer
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