MERIT Virtual Summer Mentor Sign-Up Form
Thank you for your interest in mentoring a group of MERIT Scholars this summer. This is an incredible meaningful part of their Health Innovation Internship!

The internship will take place over the course of 6 Weeks (6/28-8/6). Please expect to work with your group of 2-3 MERIT Scholars on zoom for 1-2 hours a week (timing flexible). You will also be provided with guidance on additional scholar activities that you can modify as needed to help the group be productive during their weekly independent work-time.  

The organizational overview and project focus will be shared with scholars to help us match mentors based on scholar interests. If you have any questions before or after completing this form, feel free to reach out to MERIT's Executive Director: Jake.Weinfeld@meritbaltimore.org
Sign in to Google to save your progress. Learn more
Name *
Title *
Email Address *
How many groups can you work with? *
Organization Overview: Summarize the mission and day-to-day work of your organization. *
Project Focus
Mentors will identify a health care problem or community health need that if addressed will improve health care outcomes and promote health equity.   This can be related to an active project or the mentor’s broader professional interests. Ultimately MERIT Scholars will produce a research poster as the culmination of their summer experience.

You can submit multiple project focus options. We will only match scholars to one project, unless you have indicated capacity for more than one group.

Potential project focus areas include: 1) Increasing the number of patients with well controlled diabetes, 2) Improving access to telehealth services in low-income communities, 3) Increasing COVID-19 vaccination rates in young adults, 4) Decreasing gun violence in 21217
Project Focus (one or more options) *
Is there anything else you would like to share with us?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MERIT Baltimore. Report Abuse