BMGC Mentor/Mentee Application
Mentee's please fill out the upper part of this application. Potential mentors please fill out the lower part of this application! We will do our best to pair mentors and mentees with the right person for your career goals and experiences!

Please note this is a brand new program so responses may be delayed based on the number of applications but we are thrilled to introduce this to our BMGC audience!
Email address *
Name *
Birthdate *
Mentees - why are you applying for a mentor?
Mentees - what are you hoping to gain from a mentor?
Mentees - please describe your future goals and your experience in the public health/medicine space so far
Mentors - what experience do you have working with young professionals and students?
Mentors - why do you want to mentor new professionals?
Mentors - please give a brief bio / description of your experience so we can pair you with the right mentees
Mentors - how many mentees are you willing to work with?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy