ACSM Northwest Mentorship Program Student Interest Form
The following questions will allow us to pair you with a suitable mentor as part of the newly established ACSM Northwest Mentorship Program. There will be a luncheon dedicated to this program at our upcoming Annual Meeting in Bend, OR with ACSM Presidential candidate, Dr. NiCole Keith, as the keynote speaker.
First and Last Name
What University do you currently attend?
What is your current degree level (i.e., the level you are currently pursuing)?
What is you current career interest area?
What is your planned next step following graduation from your current degree?
For example: do you plan on attending graduate school, pursuing a faculty position, completing a post doctoral fellowship, etc.
What is your current research interest area?
Will you be attending the upcoming ACSM Northwest Annual Meeting in Bend, OR?
Yes, both days
Yes, but Friday only
Yes, but Saturday only
No, not this year
Have you previously attended the ACSM Northwest Annual Meeting?
What is one thing you hope to get out of the 2019 ACSM Northwest Annual Meeting?
What is one thing you hope to get out of participating in the ACSM Northwest Mentorship Program?
Is there any other information that you believe will help us pair you with a mentor?
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