2020 GUSOM Generation I Mentorship Signup Form

The GUSOM Generation I Program is a community of Georgetown Medicine students, faculty, and alumni who are: the first in their family to attend college/professional school and/or the first in their families born in the United States and/or have family who are first generation physicians. The mission of this program is to build an inclusive home for Georgetown's first generation medical students and provide alumni, faculty, and staff the opportunity to give back to their communities in an impactful way through mentorship.
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Email *
Name *
Position/Profession *
Mentor Expectations: *
Were you a first generation student? *
Have you been a mentor for Gen 1 before? If so, please provide feedback on your experience.
How many mentees would you like?
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Degrees earned (List schools if you'd like)
What are the preferred methods of communicating with your mentee(s)? Check all that apply: *
If you'd like to send us a quick blurb about yourself to include, feel free to do so below (optional)
What are you looking for in a mentee?
What are some interesting facts you'd like to share?
If you do not wish to fill out the above text, please give us permission to use your photo and biographical info from your home institution's website *
Thank you for your help and support!
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