MOLA Mentor Application 2026-2027
Thank you for your interest in serving as a MOLA mentor for our 2026–2027 cohort, beginning in late April/early May! This is an exciting opportunity to truly make an impact on the communities we serve.

The MOLA Mentorship Program aims to provide sustained, professionally supported relationships to underrepresented Latinx students pursuing careers in health care and build a pipeline to healthcare careers for motivated students. Mentorship is provided in a team-based structure across all levels: Health Care Leaders, Physicians, Resident Physicians, Medical Students, Graduate Students, and Undergraduates.

Location of Events:
Mostly remote, some events such as the MOLA Conference take place in person and are optional

MOLA Mentor Commitment:
  • Respond to program communications (email/text). The MOLA Mentorship Program uses email as the primary form of communication.
  • We warmly encourage MOLA mentors to engage with our lecture and workshop series, both as active participants and potential speakers. Our programming is currently hosted virtually via Zoom, creating an accessible space for everyone to connect and learn together.
  • Mentors are required to follow up with their mentee 8-12 times over the course of a year for a minimum of 30 minutes.
  • As part of enriching our community, we invite mentors to share their expertise by leading a one-hour lecture or workshop. Your unique perspectives and experiences would be invaluable additions to our curriculum, and many mentors find this to be a rewarding way to contribute to the program. 
  • Mentors are required to submit a bi-annual check-in form and complete MOLA Surveys upon request
Deadline to apply: February 26th
Email *
First Name *
Last Name
Pronouns (if you feel comfortable sharing): 
How did you hear about us? *
Required
Phone number *
Where do you live? (City and state) *
Professional Title *
Affiliation/Organization/Institution *
MOLA Mentors dedicate a minimum of 30 minutes every 6 weeks. Do you think you can commit to that minimum? If not, how much time  can you commit? *
What is your ideal number of mentees? *
Please share with us a short bio of 3-5 sentences that will be sent to your mentee(s). *
I agree to respond to program communications (email/text/surveys). I agree to submit the bi-annual check-in form *
I’m Type in your initials if you understand and agree with the above.
I understand that mentors are expected to support lectures/workshops in the MOLA Mentorship Program curriculum. Would you be open to leading a lecture or workshop? *
Please describe the topic that you would like to facilitate.
Type in your full name in the signature field and today’s date to confirm your commitment to the MOLA Mentorship program.
I agree to respond to program communications (email/text). The MOLA Mentorship Program uses email as the primary form of communication.

I agree to participate in the minimum expected check-ins with my mentee (30 min) over the course of the year.

*Mentors are subject to a performance review if program commitments are not upheld.

For any questions, please email: programs@chicagomola.com
Full Name *
Are you interested in participating in a structured mentorship training program?
Today's Date *
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