Mentor Contact information
Western PA HIMSS mentor program is designed to connect students & young professionals with individuals established in their careers for guidance and advice. Our goal is to connect students and young professionals with mentors in a similar desired career path and organization to assist with starting and advancing your career.

Mentor's need to have at least 5 years of work experience.

Name
Your answer
Email
Your answer
Phone
Your answer
Are you a member of WPA HIMSS?
Have you attended a WPA HIMSS event in the last 6 months?
Where are you currently employed?
Your answer
Current job title?
Your answer
Which university did you attend?
Your answer
Any restrictions on meeting locations (Downtown, Oakland, etc.)?
Your answer
What do you hope to get out of the mentorship program?
Your answer
Have you participated in any mentorship programs previously and if so, what has been valuable?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms