AASHE Mentorship & Collaboration Application Form 2022-2023
Thank you for your interest in participating in the AASHE Mentorship program! You can use this form to apply to be either a mentor, mentee, or peer collaborator. Applications are due by July 15. AASHE staff will match applicants as best we can based on desired goals, relevant experience and overall expertise. Please provide as much detail as possible so we can find a good match. We will let all applicants know in the Fall if we have found a match for them. Unfortunately, not all applicants will be provided with a match.
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First Name *
Last Name *
Title *
Organization *
Email Address *
Best phone number *
Which of the following best describes your primary role at your organization? *
Affiliation Type *
What is your race/ethnicity? You may select as many as apply. *
1 paragraph (3-5 sentences) bio or statement *
If you are accepted into the program this bio/statement may be highlighted on the AASHE website, so please double-check for accuracy.
Select the role types that you think people who are likely to be a good match for you might hold.
Are you applying to be a mentor, mentee, or peer collaborator? *
If you want to apply for multiple roles, please submit separate applications, one for each role.
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