2019 Higher Education Network Career Shadow MENTOR Application
The Career Shadow Day is an excellent opportunity for students attending HEN Programs to gain perspective and develop a professional network and mentor relationship with a senior executive in the healthcare industry. We hope to match you with a student(s) for a Shadow Day in Spring 2019. The last day to apply will be Friday, March 1st, 2019.

Thank you in advance for your time and consideration!

First Name *
Your answer
Last Name: *
Your answer
Title / Role: *
Your answer
Name of Organization: *
Your answer
Department *
Your answer
Email: *
Your answer
Phone: *
Your answer
Best Point of Contact for Coordinating your Schedule (i.e. Admin Assistant). Please include a name and email. *
Your answer
Location of Organization *
Area of Expertise: *
Required
Are you a Member of ACHE? *
Date of Career Shadow Day is dependent upon a mutual agreement between you and the Mentee/student. Do you have any time restrictions you would like to address?
(Eg. Unavailable in November - Joint commission scheduled to arrive)
Your answer
How many students are you willing to host? *
If you are not able to serve as a Career Shadow Day mentor, would you...
Thank You!
The HEN Committee will be confirming your Career Shadow Day match soon. Please do not hesitate to reach out with any questions you may have.

Best,
The Higher Education Network - CAHL
CAHL.HENCareerShadow@gmail.com

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service