Women in White Coats Mentorship
Please fill in this form if you would like to find a mentor or if you would like to mentor someone.

Mentors should be attending physicians or residents.

Mentees can be at any level - premed, med student, resident, fellow, new attending or early career attendings.

Once you fill out this form we will do our best to match mentors and mentees and we will notify both parties via email. We cannot guarantee we will find a match. If you don't hear from us after 2 weeks, please email us at womeninwhitecoatsproject@gmail.com for an update.

Mentorship is provided on a volunteer basis.
What is your email address? *
Your answer
What is your name and title? *
Your answer
Where do you live?
Your answer
Do you want to be a mentor or a mentee? *
If you are a student, what are you studying currently?
Your answer
What are you looking for in a mentor?
Your answer
What is the highest level of education or training you have had? *
If you are in training or have completed training what is your field?
Your answer
If you'd like to be a mentor, are there any particular types of mentees you'd like to help? Pre-med students, Med Students, Residents
Your answer
Is there anything else you'd like us to know?
Your answer
Would you like to join our email list to hear about upcoming events including meet-ups, online education and conferences? *
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