Graduate Student Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you so much for your interest in working alongside our team in supporting our MV3 scholars for the 2023-2024 MV3 Scholars program.

The MV3 Foundation is a 501(c)(3) nonprofit organization that invests in the personal and professional development of Black undergraduate students pursuing careers in health and/or biomedical science. At the Foundation, our team of students and professionals support our scholars’ academic and professional growth through a dynamic and predominantly virtual mentorship model involving 2 major programs, one of which is a group-based professional development program with career discernment activities, personal growth sessions, and networking opportunities.

Outside of direct mentorship, there are many opportunities for healthcare and/or biomedical science professionals of any race/ethnicity to become involved! Please select all options that you are interested in and we will reach out to you as soon as possible. Thank you!

Name *

Email *

Phone #

Are you an MV3 Scholars Program Alum? (i.e. were you part of the 2022-2023 Scholars Program and have since graduated?)
*

yes

Please check the boxes of the racial group(s) with which you identify *

Asian

Black

Caucasian

Latino

Native American/Alaskan Native

Other

Required

Are you currently enrolled in a medical, dental, and/or graduate degree program?
*

yes

Current Medical, Dental, and/or Graduate Institution (if applicable) *

Year in school as of September 2023 (ex: M2, G4, already graduated) *

Expected Graduation Date
*

Past Medical, Dental, and/or Graduate Institution (if applicable) and year of graduation *

If you are not/ will not be enrolled in graduate school, please briefly share what you will be up to between May-Dec 2023 (e.g. working for _____)

Clear form

Never submit passwords through Google Forms.

This form was created inside of The MV3 Foundation. Report Abuse

Forms