Future Health Professional Career Mentor Program
Complete the form below to register for the Future Health Professional Career Mentor Program and Nebraska HOSA will match you with a career mentor.
Name *
Your answer
Have you paid your $14 HOSA dues/affiliation fees? *
Email *
Your answer
Phone Number *
Your answer
College/University You are Attending *
Your answer
What year in college are you currently?
Your answer
Area of Career Interest/Future Career - We will use this information to match you with a health professional mentor. *
Your answer
What do you hope to get out of participating in the HOSA Mentorship Program? *
Your answer
How Often Do You Wish to Interact with Your Mentor? *
Required
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