AFEM Global Nursing Mentorship Programme Interest Form
The AFEM Global Nursing Mentorship Programme is a unique mentoring opportunity which pairs African emergency nurses with expert emergency care providers from across the world.

We are excited to have you join us! Please fill out the following form to tell us a bit more about yourself so we can best pair you for mentorship.

Once your form is received we will contact you via email (from services@afem.info) to provide further details of your mentorship pairing and the program at large.
Email address *
Name *
Please use the following format: Last Name, First Name
I am interested in being a... *
Location *
Please let us know where your home base is using the following format: City, Country
Years of practice in emergency care *
Qualification *
MENTORS: Professional interest areas
Please select your areas of interest. We will use this information to better match you with potential mentees.
METEES: Mentorship Requirements
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of afem.info. Report Abuse