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! (http://www.ieasgu.org/).

If you have any problems, please email iea.sgu@gmail.com.

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