PHMI Mentee Application [Google Form]
This application is for students who are interested in being mentored by Hunter College upperclassmen who are also Pre-Health students.

* A one year commitment is required to participate in this program.

WE ENCOURAGE YOU TO APPLY AS A MENTEE WITHIN THE FIST 30 DAYS OF THE SEMESTER. MENTEES WHO APPLY DURING SEMESTERS WILL BE MATCHED AT THE START OF THE NEXT SEMESTER. YOUR APPLICATION WILL NOT BE CONSIDERED IF YOU SUBMIT FALSE INFORMATION.
Email *
Hunter College ID/ CUNYfirst Number or the 8 digit number on your ID card 

Do not submit a fake EMPL ID Number
 *
Name (First Last)
 *
What is your gender? *
Hunter College Email
 *
Personal Email 
 *
Cell Number (XXX-XXX-XXXX) *
What is your academic status?
 *
Are you the first person in your family to attend college in this country?
 *
How did you learn about the Pre-Health Mentoring Initiative at Hunter College (PHMI)?
What are your career goals in healthcare? (eg. physician, PA, dentist, optometrist, veterinarian, PT, OT, podiatrist, pharmacist)
 *
What inspired you to pursue your intended college major or career path?
 *
What are your interests or hobbies?
 *
What do you hope to gain from participating in PHMI?
 *
Is there anything in your cultural or personal background that you think would be significant in matching you with a mentor? Please explain.
 *
Signature: 1 With this signature I testify that all information in this form can be authenticated and is accurate to the best of my understanding or recollection. The Pre-Health Advising Office will reject this application if we should uncover information contradictory to that which is mentioned in this application.

Please type your name in the box below to mark your signature.
 *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms