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
Your answer
What University do you currently attend?
Your answer
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.
Your answer
What is your current research interest area?
Your answer
Will you be attending the upcoming ACSM Northwest Annual Meeting in Bend, OR?
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?
Your answer
What is one thing you hope to get out of participating in the ACSM Northwest Mentorship Program?
Your answer
Is there any other information that you believe will help us pair you with a mentor?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service