IEA Clinical Mentor Sign-Up: Fall 2017
This is an opportunity to guide students entering their clinical rotations. Your role as a clinical mentor will be helping your footstep buddies in transitioning from basic science to clinical environments. This will include meet-ups or other methods of communication for you to share any pertinent information for a successful clerkship and to address any concerns from your footstep buddy.

Clinical mentors may submit 2 hours/buddy up 4 hours/term related to their involvement in the Footstep Buddy Program.

Don't forget to log your hours when you have completed a session! (

If you have any problems, please email

Last Name *
Your answer
First Name *
Your answer
State *
Your answer
City *
Your answer
Hospital System *
Your answer
Hospital *
Your answer
What is your preferred email? *
Your answer
What is your preferred contact telephone number?
Your answer
Who was your 5th term IEA President?
Clinicals Start Date
Which year of rotations are you in?
What specialty are you considering?
Your answer
Would you like to be matched with someone considering the same specialty?
Which rotation are you currently in? *
Which rotations have you completed? *
Are you willing to mentor more than 2 students? *
Have you already signed up to be a mentor? *
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